AMA CPT® Assistant - 2004 Issue 3 (March)

Medicine (March 2004)

March 2004 page 10a Coding Consultation:Questions and Answers Medicine, 96150-96155 (Q&A) Question When are the health and behavior assessment codes used vs the psychotherapy codes? AMA Comment AMA Comment: From a CPT coding perspective, codes 96150-96155 are reported to describe those services performed to address difficulties associated with an acute or chronic illness, prevention of a physical illness or disability, and maintenance of health that do not meet criteria for a psychiatric diagnosis. Use of the health and behavior assessment codes eliminates inappropriate labeling of the patient as having a mental health disorder when the problem is actually...

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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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