Different Rates for the Same CPT Code Question
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Help!

We have just recently added two new therapist to our clinic who charge different rates than our other established clinicians. I tried creating a new "service" under "Billing and Services" in my account and it said the CPT code was already taken. For example, one of new our clinicians charges $180 for a 90837 session and our other clinicians who have been at our clinic charge $160 for a 90837. Since our already established clinicians have the 90837 code at $160, I cannot create a new 90837 with the rate of our new clinicians. From what I can tell, it looks like I will just have to manually go in and change the rate for every client these two clinicians see. Is that what everyone else does or is there another way around this? All of our clinicians are LPCs/psychotherapists so we will only bill 90791s and 90837s.

Thank you!

3 comments

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    Denise Ibrahim, MS, LMHCA

    I have the same question, so I hope someone gets back with an answer to this question.   In my case though, it is not a different clinician, it is the same clinician but when using a more complicated modality, charges more money.

    I have the same question, so I hope someone gets back with an answer to this question.   In my case though, it is not a different clinician, it is the same clinician but when using a more complicated modality, charges more money.

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    Lori K. Roberto

    I have this same question. In my case, some of my longer term clients are at an older rate, while newer clients pay my current rate. Why can't there be more than one rate per CPT code?

    I have this same question. In my case, some of my longer term clients are at an older rate, while newer clients pay my current rate. Why can't there be more than one rate per CPT code?

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    Tori Reap

    Lori,

    We have just run into that problem as well. One of our new clinicians is keeping her old clients at a $150 rate and the new clients at a rate of $180. I have to manually go in and change the rate depending on the status of the client. I wish there was some type of modifier or way you could include it in the name of the service which clinician and what rate the CPT code is for.

    Lori,

    We have just run into that problem as well. One of our new clinicians is keeping her old clients at a $150 rate and the new clients at a rate of $180. I have to manually go in and change the rate depending on the status of the client. I wish there was some type of modifier or way you could include it in the name of the service which clinician and what rate the CPT code is for.