AMA CPT® Assistant - 2022 Issue 10 (October)
Reporting Caregiver Behavior Management Training (96202, 96203) (October 2022)
October 2022 pages 7-10 Reporting Caregiver Behavior Management Training (96202, 96203) For the Current Procedural Terminology (CPT®) 2023 code set, a new subsection titled “Behavior Management Services” and two new codes (96202, 96203) have been established in the Medicine section. These new codes are used to report multiple-family group behavior management and modification training that is administered by a physician or other qualified health care professional (QHP) for parents, guardians, and/or caregivers of patients with an unwanted or problematic behavior related to a mental or physical health diagnosis. Corresponding guidelines and parenthetical notes have also been added to...
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Article Overview
This CPT Assistant article introduces new behavior management services in the CPT 2023 code set and discusses the surrounding guidance for reporting caregiver-focused training. It is aimed at coding professionals and clinicians who need to understand the scope of the new medicine subsection, the related documentation concepts, and how these services fit alongside other behavioral, counseling, and evaluation-and-management services. The article also includes clinical example narratives and procedure descriptions to illustrate typical use cases.
Why This Topic Matters
The article matters because it explains a new CPT medicine subsection and the accompanying guidance that affects how caregiver training services are identified and reported. It helps readers understand the broader context of these services and where they sit relative to other behavioral health, education, counseling, and E/M reporting categories.
Article Sections
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Behavior Management Services
Overview of the new CPT behavior management services subsection and the general context for reporting caregiver training services.
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Clinical Example and Description of Procedure
Illustrative scenarios and procedure narratives showing the type of caregiver training discussed in the article.
What You Will Learn
- The purpose and scope of the new CPT behavior management services subsection
- How the article frames caregiver-focused training within CPT guidance
- The broader categories of related services referenced for comparison
- The kinds of clinical scenarios used to illustrate the new services
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Other qualified health care professionals
- Behavioral health practices
- Dietitian and nutrition-related practices
Codes Discussed
Code Ranges Discussed
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