However, there appears to be a glich in the billing system and NASW-Michigan has been advised that CPT codes 90834 and 90837 are currently being rejected as not payable to LMSWs by Blue Cross Blue Shield.
Please see the below repsonse and know that the error is being corrected:
BCBSM is already aware of this problem. I received the below response from Medical Affairs:
Medical Affairs has determined that in accordance with the 2013 Code Update Benefit Chance Request# 209BLHX01 Clinical Licensed Master Social Worker is a payable provider for both procedure codes 90834 and 90837. CPT code 90806 was replaced with two codes. 1) 90834 if you do under 53 minutes of individual psychotherapy, and 2) 90837 if you provide over 53 minutes of individual psychotherapy. Benefit Explainer is in the process of completing this update request. Please allow additional time for the implementation of the BCR to be completed.
Once system is updated, claims will process through for payment of benefits.
NASW-Michigan would like to thank Mary Beth Houpt at Mid Michigan Medical Management for her help in clarifying the situation. NASW is offering a FREE 1CE Lunchtime series event tomorrow, January 11 around the psychotherapy code changes. Click here for registration or more details.
Additionally, get your questions answered at:
An Hour on Psychotherapy Codes
Question-and-Answer Sessions for Clinical Social Workers
Exclusively for NASW members, NASW will host free question-and-answer sessions on the new psychotherapy codes to assist clinical social workers in using the codes effectively in their private practices. The sessions are limited to the first 100 callers on the day of the event. These sessions will be held every Wednesday beginning January 23, 2013 and ending April 24, 2013. Each call will last one hour, from 12:00 pm to 1:00 pm ET. To join a session, use the following information:
MEETING TITLE: Psychotherapy Codes
TELECONFERENCE LINE: 866-454-4206
PARTICIPANT PASSCODE: 488595
CPT SESSION DATES:
January 23, January 30, February 6, February 13, February 20, February 27, March 6, March 13, March 20, March 27, April 3, April 10, April 17, April 24