[Ohioaap-practicemanagers] PM - Depression screening payment
Michael Chamberlin
mikechamberlinsoapm at gmail.com
Fri Aug 25 12:28:00 EDT 2017
We are having problems with getting paid for our depression screening by
Humana and Anthem, Humana says that it is "not a covered service" and
Anthem sometimes will say that it is "included in another service" which
sounds like bundling to me. We use the PHQ-9 and screen all patients 11
years and older at there well visit. We use the 96127 code and have tried
a variety of modifiers on that code (-25, -33, etc).
Has anyone had problems with this screening and these insurance companies?
Any better way to code for this?
Thanks,
Mike
--
Michael Chamberlin, M.D., FAAP
Pediatric Assoc. of Mt Carmel
4371 Ferguson Dr
Cincinnati, OH 45230
513-752-3650
513-752-3387 (fax)
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