AMA CPT® Assistant - 2018 Issue 11 (November)

Coding Update: Reporting Adaptive Behavior Assessment and Treatment Services in 2019 (November 2018)

November 2018 pages 3-6 Coding Update: Reporting Adaptive Behavior Assessment and Treatment Services in 2019 Significant changes have been made in the Medicine section of the Current Procedural Terminology (CPT®) 2019 code set that pertain to adaptive behavior assessment and treatment services. Although the CPT Category III codes were implemented in 2014 for reporting adaptive behavior services, some payers did not adopt them. So, for the CPT 2019 code set, a new subsection titled "Adaptive Behavior Services" has been added to the Medicine section along with eight new Category I codes for adaptive behavior assessments (97151 and 97152)...

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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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