AMA CPT® Assistant - 2018 Issue 7 (July)
General Behavioral Health Integration Care Management (July 2018)
July 2018 pages 12-13 General Behavioral Health Integration Care Management For 2018, Current Procedural Terminology (CPT®), three new subsections were created within the Evaluation and Management (E/M) Services section: (1) Cognitive Assessment and Care Plan Services (99483); (2) General Behavioral Health Integration Care Management (99484); and (3) Psychiatric Collaborative Care Management Services (99492, 99493, 99494). Cognitive Assessment and Care Plan Services subsection (99483) was discussed in an article in the April 2018 issue of CPT ® Assistant (p 9). This article discusses the new General Behavioral Health Integration Care Management subsection and new code 99484, which is used...
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Article Overview
This CPT Assistant article reviews the 2018 addition of a behavioral health integration care management service in the E/M Services section. It explains the general scope of the new guidance, how the service fits into the collaborative care model, and the kinds of care-management activities and settings discussed. The article is useful for coders, billers, compliance staff, and clinicians who work with behavioral health integration services.
Why This Topic Matters
It helps readers understand a newly introduced CPT care-management service for behavioral health and how it relates to broader collaborative care concepts and other E/M reporting categories.
Article Sections
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General Behavioral Health Integration Care Management
Introduces the 2018 CPT E/M subsection and the new behavioral health integration care management service. Summarizes the general context for the article and its relationship to other newly added behavioral health services.
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Collaborative Care Model
Reviews the collaborative care model framework and the general elements used to describe integrated behavioral health care. Discusses why the model supports the addition of the new CPT service.
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Coding Tip
Highlights a general coding reminder related to physician or qualified health care professional involvement and time accounting. The section is presented as practical guidance within the article's broader behavioral health integration discussion.
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Clinical Example (99484)
Presents illustrative scenarios for adults and children in a typical behavioral health integration care management context. It is paired with procedural description material that reflects common use cases for the service.
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Description of Procedure (99484)
Provides a broad procedural overview of how the behavioral health integration care management service is organized and supervised. The section describes the general workflow and oversight context for the service.
What You Will Learn
- How the article situates a new behavioral health integration care management service within CPT E/M Services
- What the collaborative care model is at a high level and why it is relevant to behavioral health integration
- Which general kinds of service components are associated with the article’s care-management discussion
- How the article frames the relationship between the new service and other behavioral health or care-management reporting categories
- What types of illustrative material and procedural overview the article includes
Who Should Read This
- Medical coders
- Coding auditors
- Compliance professionals
- Practice managers
- Behavioral health clinicians
- Primary care clinicians
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
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