decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 1 (January)
Add two health risk assessment codes to your inventory in 2017
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Article Overview
This article covers a 2017 update to CPT health risk assessment reporting in the medicine section. It discusses the introduction of new patient- and caregiver-focused assessment codes, the retirement of a prior HRA code, related Medicare payment context, and broad guidance on how the change affects reporting for practices and payers. It is aimed at coders, billers, and practices that perform health risk assessments or related standardized screening services.
Why This Topic Matters
HRA reporting changed for 2017, so practices need to understand which CPT codes apply under the updated structure and how the change affects reimbursement and claim submission.
Article Sections
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New HRA codes and code placement
Introduces the 2017 CPT update for health risk assessment reporting and notes where the new services appear in the code book.
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Replacing the previous HRA code
Explains that an older HRA reporting option is being retired and provides context about its prior use.
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Payment and guidance context
Summarizes Medicare payment context, general CPT guidance, and commentary on how the service is typically performed.
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Example and related screening considerations
Presents a broad scenario involving caregiver assessment and discusses how the article distinguishes HRA reporting from other standardized screening services.
What You Will Learn
- How the 2017 CPT update changed health risk assessment reporting
- How the article frames the distinction between patient-focused and caregiver-focused assessments
- What general payment context is discussed for the new HRA services
- How the article positions HRA reporting relative to other standardized screening services
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Physician practices
- Clinical staff involved in standardized assessments
Codes Discussed
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