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

Article Overview

This brief March 2004 CPT Assistant Q&A addresses a coding distinction within medicine-related behavioral health services. It is intended for coders and billing staff who need to understand the general scope of the discussion and the type of service distinctions covered in the article.

Why This Topic Matters

Articles like this help coding professionals recognize when a service discussion falls within behavioral health coding versus broader medical assessment territory, supporting more accurate documentation review and code selection.

Article Sections

  1. Coding Consultation: Questions and Answers

    A question-and-answer discussion focused on a behavioral health coding topic in the medicine section of CPT Assistant.

What You Will Learn

  • The general topic distinction addressed in the Q&A
  • How the article frames the scope of the services discussed
  • Why the article is relevant to medical and behavioral health coding review
  • What type of CPT Assistant guidance is provided in this issue

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Practice managers
  • Behavioral health documentation reviewers

Codes Discussed

Code Ranges Discussed


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