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Coding and Billing Guidelines - CMS

1 Coding and Billing Guidelines *Psychiatry and Psychology Services PSYCH-014 - L30489 Contractor Name Wisconsin Physicians Service (WPS) Contractor Number 00951, 00952, 00953, 00954 05101, 05201, 05301, 05401, 05102, 05202, 05302, 05402, 52280 Contractor Type Carrier Fiscal Intermediary A MAC A MAC B Effective Date: 03/18/2010 I. General Coding Psychiatry and Psychology are specialized fields for the diagnosis and treatment of various mental health disorders and/or diseases. References to providers include physicians and non-physicians, such as clinical psychologists, independent psychologists, nurse practitioners, clinical nurse specialists and physician assistances when the services performed are within the scope of their state license and clinical practice/education.

PAs perform tests under the general supervision of a physician as required for services furnished under the PA benefit. Furthermore, physical therapists (PTs), occupational therapists (OTs) and speech language pathologists (SLPs) are authorized to bill three test codes as “sometimes therapy” codes.

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