Complex cases often require a lengthy consultation with the patient to discuss the diagnosis and treatment options. Can this be billed separately?

Answer

If the patient consultation does not occur on the same day as the evaluation, D9450 (case presentation, detailed and extensive treatment planning) can be billed separately since D0160 requires the use of more extensive diagnostic modalities, by report, and treatment is usually performed over an extended length of time. Also note, however, that many carriers don’t pay for D9450.