Health Information Management

Tip: Follow guidelines for reporting Interactive complexity

APCs Insider, February 15, 2013

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When specific communication factors are present that complicate the delivery of a psychiatric procedure, coders can report new add-on code 90785 for interactive complexity.

Typically a third party will be involved when this code is warranted.
 
Code 90785 should be reported with the appropriate code for:
  • Diagnostic psychiatric evaluation (90791-90792)
  • Psychotherapy (90832, 90834, 90837)
  • Psychotherapy when performed with an E/M service (90833, 90836, 90838, 99201-99225, 99304-99337, 99341-99350)
  • Group psychotherapy (90853)
 
The add-on code does not include a time element and should only be reported once per session. Time spent by the provider will be reported in the main service code.
 
Do not report 90785 with a regular E/M code. It is only for use when the patient receives psychotherapy.
 
The tip is adapted from “Note major changes in ­medicine section” in the February Briefings on APCs.



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