This article highlights recommended billing practices. Each NP is responsible for determining the appropriate billing codes based on clinical evaluation. Most billing codes take into consideration both the acuity of the patient and the length of time per visit. Recommendations are listed below by appointment type.
Recommended initial visit billing codes
Codes outlined in the orange can be billed when the questionnaires show a positive finding.
Recommended follow-up visit billing codes
Please note: When using the 90833 therapy add on code, you must select E/M (evaluation and management) based billing NOT time based
- This code is ADDED to your selected visit code
Example: 99214 and 90833 are billed together with a separate therapy note documenting how long the therapy portion of the visit was (16 minute minimum to qualify for the 90833 code) and the 99214 is based on E/M coding.
Do not fill in the total visit time box for these visits, you must write N/A.
Recommended transfer visit billing codes
Note: The template for transfer visits can be used in either the initial visit or follow-up visit templates. This is up to each NP to select which is preferred. Billing for transfer patients can only happen with follow-up codes. If an initial template is selected, you'll see the following codes under services provided. If a follow-up template is selected, use the follow-up codes as listed.
Updated