Newly Added Mental Health CPT Codes in 2019
Newly Added Mental Health CPT Codes in 2019
The American Medical Association (AMA) on September 05th, 2018 announced the release of the 2019 Current Procedural Terminology (CPT®) code set. There are 335 code changes in the new CPT edition reflecting the CPT Editorial Panel and the health care community’s combined annual effort to capture and describe the latest scientific and technological advances in medical, surgical and diagnostic services. New CPT category I codes are effective for reporting as of Jan. 1, 2019.
The Centers for Medicare & Medicaid Services (CMS) deleted the CPT codes for reporting psychological and neuropsychological testing services. The deleted codes include 96101, 96102, 96103, 96118, 96119, and 96120. Deleting these old CPT codes should help to clear up confusion over how to bill across multiple days of service and how to code the “Interactive feedback”. The code changes should also help psychologists get compensation for non-face-to-face work by a professional and/or technician.
CMS is replacing the deleted codes with a more comprehensive set of codes. Here’s just a sampling of the added codes for 2019:
- 96112/96113 — Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory, and/or executive functions by standardized developmental instruments when performed), by a physician or other qualified health care professional, with interpretation and report…
- 96130/96131 — Psychological testing evaluation services by a physician or other qualified health care professional, including the integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed…
- 96132/96133 — Neuropsychological testing evaluation services by a physician or other qualified health care professional, including the integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed…
- 96136/96137 — Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method…
- 96138/96139 — Psychological or neuropsychological test administration and scoring by a technician, two or more tests, any method…
- 96146 — Psychological or neuropsychological test administration, with single automated, standardized instrument via an electronic platform, with the automated result only
- 97152 — Behavior identification-supporting assessment, administered by one technician under the direction of a physician or other qualified health care professional, face-to-face with the patient, each 15 minutes
- 97153 — Adaptive behavior treatment by protocol, administered by the technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes
- 97156 — Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with a guardian(s)/caregiver(s), each 15 minutes
CPT © Copyright 2021 American Medical Association
The new CPT codes will completely change the way you report your mental and behavioral health services. Study the added mental and behavior health CPT codes carefully, and ensure your documentation supports the new reporting guidelines. In case of any assistance, you can contact E2E Medical Billing Services at 888-552-1290/ [email protected]