AMA CPT® Assistant - 2014 Issue 9 (September)

Medicine: Health and Behavior Assessment/Intervention (Q&A) (September 2014)

September 2014 page 15 Medicine: Health and Behavior Assessment/Intervention Question: Can codes 96150-96155 be reported when a health and behavior intervention is performed by a physician in a clinic or hospital setting? Answer: No. The health and behavior assessment codes 96150-96155 should only be reported by qualified nonphysician health care professionals to identify assessment and treatment for biopsychosocial factors affecting a patient's physical health problems. The health and behavior assessment/intervention guidelines direct that physicians performing health and behavior assessments and/or interventions should report the appropriate E/M or preventive medicine service codes. ♦ Medicine: Health and Behavior Assessment/Intervention (Q&A)...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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