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Enter the CPT/HCPCS code in the MCD Search and select your state from the drop down. (You may have to accept the AMA License Agreement.) Look for a Billing and Coding Article in the results and open it. (Or, for DME MACs only, look for an LCD.) Review the article, in particular the Coding Information section.
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The disorder is characterized by intrusive recurring thoughts or images of the traumatic event; avoidance of anything associated with the event; a state of hyperarousal and diminished emotional responsiveness. These symptoms are present for at least one month and the disorder is usually long-term.
Get crucial instructions for accurate ICD-10-CM F43.1 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
If a psychiatric diagnostic evaluation with medical assessment is performed, the physician or non-physician practitioner (NPP) may use CPT code 90792 or an evaluation and management (E/M) code. If a patient is unable to communicate by any means, the interactive complexity CPT code 90785 should not be billed.
