Major code revisions did not hamper psychological testing

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

Article Overview

This article reviews Medicare Part B claim trends before and after major 2019 AMA revisions to psychological, neuropsychological, and neurobehavioral testing code sets. It is relevant to billing, coding, and compliance professionals who track outpatient behavioral health testing services and want to understand how code-set updates can affect utilization patterns and denial rates over time. The discussion focuses on the scope of the code changes, broad claim-volume trends, and denial-rate comparisons reported from 2016-2021 data.

Why This Topic Matters

Code-set revisions can change how commonly services are reported and whether claims are denied. This article helps readers gauge the impact of a major update on psychological and neurobehavioral testing billing activity in Medicare Part B.

What You Will Learn

  • Which broad service categories were affected by the 2019 code revisions
  • How Medicare Part B claim volume changed across the pre- and post-update periods
  • How denial trends compared before and after the code-set overhaul
  • Why timing, telehealth availability, and code-family structure matter for service reporting

Who Should Read This

  • Medical coders
  • Billing staff
  • Revenue cycle professionals
  • Compliance professionals
  • Behavioral health practice administrators
  • Neuropsychology and psychology practices

Codes Discussed

Code Ranges Discussed


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