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Needing a Modifier for 90899 as Animal Assisted Therapy for MA billing

Jenna 2 years ago in Codes/Rates/Diagnosis Modules updated by TVano 2 years ago 5

Hello,

We are currently billing out 90899 for one of our therapists for animal assisted therapy. MA has stated they DO reimburse for 90899 Animal Assisted therapy but it needs a modifier. We are unable to located one. When looking the HCPCS it only has modifiers occupational therapy, physical therapy and speech therapy. Does anyone know what modifier we could use for mental health therapy? 

THanks! 

We bill this code and use the modifier UC. We are a mental health. If you work the claim in MNITS and do the validation first it will tell you if it pays. I don't have any issue getting this code to pay with the UC modifier (although we don't use pets)


90899 U8 Clinical Care Consultation,Face to Face,5-10 minutes
90899 U9 Clinical Care Consultation,Face to Face,11-20 minuntes

90899 UB Clinical Care Consultation,Face to Face,21-30 minutes

90899 UC Clinical Care Consultation,Face to Face,31 min plus

90899 U8 U4 Clinical Care Consultation,Non Face to Face,5-10 minutes

90899 U8 U4 Clinical Care Consultation,Non Face to Face,5-10 minutes

90899 U9 U4 Clinical Care Consultation,Non Face to Face,11-20 minutes

90899 UB U4 Clinical Care Consultation,Non Face to Face,21-30 minutes

90899 UC U4 Clinical Care Consultation,Non Face to Face,31 min plus

90899 U8 HN Clinical Trainee Care Consultation,Face to Face,5-10 minutes

90899 U9 HN Clinical Trainee Care Consultation,Face to Face,11-20 minutes

90899 UB HN Clinical Trainee Care Consultation,Face to Face,21-30 minutes

90899 UB HN Clinical Trainee Care Consultation,Face to Face,21-30 minutes

90899 UC HN Clinical Trainee Care Consultation,Face to Face,31 min plus

90899 U8 U4 HN Clinical Trainee Care Consultation,Non Face to Face,5-10 minutes

90899 U9 U4 HN Clinical Trainee Care Consultation,Non Face to Face,11-20 minutes

90899 UB U4 HN Clinical Trainee Care Consultation,Non Face to Face,21-30 minutes

90899 UC U4 HN Clinical Trainee Care Consultation,Non Face to Face,31 min plus

TVano, do you get it reimbursed by BCBS PMAP? I am having trouble with that one.

We don't bill the code often, but the report I just ran does show that the BCBS PMAP did pay. Along with the UC modifier also add the modifier U7 (for BCBS PMAP only)

You're welcome.

Good Luck