Dressings applied by the physician are included as part of the professional service and are subject to the local carrier. Check with the insurance company to determine how casting is classified for global period, or number of follow-up days. We provide psychiatric clinical services on a geriatric inpatient psychiatry unit. Most of the patients suffer from dementia with delirium or depression and have other medical diagnoses and multiple prescription medications. It also may be used for the patient whose psychotherapy is being managed by another health professional, and the billing physician is managing the psycho-pharmacologic medication.
Any psychotherapy provided is minimal and usually is supportive only.
Typically this code requires about 15 minutes of time. Look these codes up in the Medicare Fee Schedule and compare the allowables. Only minimal psychotherapy can be done to use this code, so if patients require more than minimal time, then this code cannot be used. 90862 is used by the psychiatry profession mainly in the clinic, outpatient, or nursing facility setting. The individual selection is based on extradural or intradural or a combination of both.