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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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This short CPT Assistant Q&A addresses health and behavior assessment/intervention coding in a clinical setting. It is aimed at coders and billing staff who need to understand the scope of the guidance and the type of service categories discussed, without substituting for the full article.

Why This Topic Matters

It helps readers determine whether the article is relevant when they are dealing with behavioral health-related assessment or intervention services and need to understand the article’s focus on physician versus nonphysician reporting guidance.

What You Will Learn

  • The article’s general focus in the medicine section of CPT Assistant
  • How the guidance frames reporting considerations for health and behavior assessment/intervention
  • Which kinds of provider and service categories are discussed at a high level
  • The setting and scope of the Q&A covered in the September 2014 issue

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Compliance staff
  • Physician practice managers

Codes Discussed

Code Ranges Discussed


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