decisionhealth Newsletters, Part B News - 2017 Issue 12 (December)
New E/M subsections further define, limit 2018 CPT code changes
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Article Overview
This article reviews selected 2018 CPT evaluation and management changes that affect cognitive assessment and behavioral health integration services. It is intended for coders, billers, and clinical practices that report these services and need to understand the new CPT subsection structure, timing limits, and general reporting guidance tied to the update. The discussion also places the new CPT items in context with earlier HCPCS reporting and the related changes that took effect January 1, 2018.
Why This Topic Matters
Organizations reporting cognitive assessment or behavioral health integration services need to understand the 2018 CPT updates to support compliant claim reporting and avoid using outdated HCPCS-based workflows.
Article Sections
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Coding
Introductory overview of the 2018 CPT updates and the context for the new E/M guidance.
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Cognitive-assessment timeline set
Discussion of the new cognitive assessment and care plan services subsection, including the reporting timeline and general requirements associated with the service.
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For BHI services, count physician time
Overview of behavioral health integration reporting guidance, including the role of physician time and general setting-related considerations.
What You Will Learn
- How the 2018 CPT E/M updates are organized into new subsections
- What general reporting themes apply to cognitive assessment services
- What general guidance is highlighted for behavioral health integration services
- How the article frames the relationship between CPT updates and prior HCPCS reporting
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Physician practices
- Behavioral health practices
Codes Discussed
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