Common Billing Mistakes: MSP Fee Code 00083

In this series we’re covering common billing mistakes and how to avoid them. This will save you from potential headaches with rejected billings, and help you get paid for your services faster.

Last time we looked at MSP fee code
00082 – today we’ll continue with
00083 (Critical care monitoring)

When to Bill Fee Code 00083: Tips for Billing & Mistakes to Avoid 

You can bill 00083 when you’re called to provide continuous medical assistance at the exclusion of other services in periods of personal or family crisis.

This fee code is diagnostic code specific and only applies in the following situations, and must be entered in the e-note.

1. Rape – Assault  DX: 10A
2. Sudden Bereavement DX: V790 – billed to survivor
3. Suicidal Behavior  DX: 30920
4. Acute psychosis, DX: 293 – or any of the 239-311 codes would sufficient.

Fee code 00083 is not a stand alone item and must be billed with a visit. The timing of the visit must precede 00083.

• Visit or counselling – is considered first ½ hour of care
• Consult/CPS – is considered the first 1 hour of care
• **Continuing care is payable with this fee code

Example: Patient is assaulted and distraught – time spent with them is from 1400 – 1600
13200 – enter times 1400-1430.
00083 – enter times 1430-1600, e-note: “1430-1600 – assaulted/alleged”

This article offers general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. All expressions of opinion reflect the judgment of the author(s) as of the date of publication and are subject to change. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBC Ventures Inc. or its affiliates.