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First Visit #1:
+  Office Visit New CPT 99203-05
+  Office Visit Established CPT 99213-15
(Complete MINI screen & schedule follow up
appointment to  take full M.I.N.I. if positive)

 

Second Visit #2:
+  Office Visit Established CPT 99204
+  Psychiatric Diagnostic evaluation  CPT 90791
+  Psychiatric Diagnostic evaluation  w/
        Medical Services CPT 90792
(Complete MINI & schedule follow up appointment to
review results of MINI complete diagnosis & Treatment
plan)

 

Third Visit #3:
+  Office Visit Established CPT 99204

 

 

How the PCP Process Works

The Med Tech hands the MINI screen to the patient when they are escorted the exam room.

The tech tells the patient to “please fill this out while you wait for the doctor”. If the results are

positive, a follow-up visit is scheduled.

 

During the follow-up visit the doctor can administer the full MINI. The Staff then schedules a

third visit to review the findings and create a treatment plan.

 

When the patients come for the final return visit, the clinician (if embedded model) will perform

a bio psychosocial, using all collected information to provide an informed diagnosis and create

a custom treatment plan.

 

The clinician can then begin psychotherapy, in conjunction with any medication the supervising

physician may require.

 

A series of chronological evidence based medical outcome tracking. This can be done in person

or via the web.

Exclusion Criteria

There are several challanges when billing for psyciatric codes in a primary care setting. It took our staff a great deal of time to fine tune this process.

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