AMA CPT® Assistant - 2020 Issue 8 (August)
Health Behavior Assessment and Intervention (August 2020)
August 2020 pages 3-5 Health Behavior Assessment and Intervention The Current Procedural Terminology (CPT®) 2020 code set includes several changes in the Health Behavior Assessment and Intervention subsection in the Medicine section. Nine codes were added (96156-96171) and six codes were deleted (96150-96155). The subsection heading was revised, and numerous parenthetical notes were added or revised throughout this subsection to provide instructions on the proper reporting of these assessments and interventions. Additional guidelines were also added to describe the differences between assessment and interventions, including definitions for health behavior assessment and health behavior intervention. The information that follows...
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Article Overview
This CPT Assistant article explains the August 2020 updates to the Medicine section’s Health Behavior Assessment and Intervention subsection. It is aimed at coding and billing professionals, clinicians, and compliance staff who need to understand the scope of the revised guidance, the types of services discussed, and the surrounding reporting considerations in relation to other behavioral health and evaluation/management services.
Why This Topic Matters
The article helps readers determine how the updated CPT subsection is organized and what categories of health behavior services are addressed. It is relevant for accurate interpretation of the 2020 changes, cross-service reporting considerations, and documentation expectations.
Article Sections
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Health Behavior Assessment and Intervention
Introduces the 2020 CPT updates to this subsection and summarizes the broad reporting guidance provided in the article.
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Health Behavior Assessment
Describes the assessment concept and the general patient factors addressed within this service category.
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Health Behavior Intervention
Summarizes the intervention concept, delivery settings, and broad service purposes discussed in the article.
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Coding Tip
Presents general reporting notes and interaction guidance related to this subsection and other service categories.
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Coding Tip
Provides additional reporting guidance about relationships between health behavior services and psychiatric services.
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Clinical Example (96156)
Pairs an assessment example with procedure description material for the related service category.
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Clinical Example (96158)
Pairs an individual intervention example with procedure description material for the related service category.
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Clinical Example (96159)
Pairs an additional-time intervention example with procedure description material for the related service category.
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Clinical Example (96164)
Pairs a group intervention example with procedure description material for the related service category.
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Clinical Example (96165)
Pairs an additional-time group intervention example with procedure description material for the related service category.
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Clinical Example (96167)
Pairs a family intervention example with procedure description material for the related service category.
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Clinical Example (96168)
Pairs an additional-time family intervention example with procedure description material for the related service category.
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Clinical Example (96170)
Pairs a family-only intervention example with procedure description material for the related service category.
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Clinical Example (96171)
Pairs an additional-time family-only intervention example with procedure description material for the related service category.
What You Will Learn
- How the 2020 CPT updates affect the Health Behavior Assessment and Intervention subsection
- What general types of services are included in the subsection
- How the article frames reporting considerations alongside related behavioral and evaluation/management services
- What kinds of clinical scenarios the article uses to illustrate the services
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance professionals
- Physicians and other qualified health care professionals
- Practice managers
Codes Discussed
Code Ranges Discussed
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