decisionhealth Newsletters, Coder Pink Sheets - 2013 Issue 3 (March)
Practices have new telehealth med management, preventive care codes
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Article Overview
This article covers recent Medicare telehealth coding changes that affect behavioral health and preventive care reporting. It is aimed at psychiatrists, psychologists, and other coding professionals who need to understand which CMS telehealth additions, preventive service codes, and CPT crosswalk updates are discussed, along with the related timing and policy context. The article also notes referenced CMS and Medicare guidance sources.
Why This Topic Matters
It helps readers identify whether their telehealth billing workflows are affected by recent CMS updates for psychiatric medication management, preventive services, and crosswalked behavioral health services. It is useful for coding, compliance, and reimbursement teams tracking telehealth policy changes.
Article Sections
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Telehealth pharmacologic management update
Discusses a CMS telehealth G-code added for medication management and the context for its inclusion in telehealth reporting. The section also addresses timing, payment context, and policy considerations around telehealth behavioral health services.
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New preventive services added to the telehealth list
Summarizes additional CMS preventive service codes that were added to the telehealth services list. The section groups the new services by screening, counseling, and behavioral therapy categories.
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Crosswalk from deleted CPT codes to newer CPT codes
Describes how certain pre-existing telehealth services were mapped from deleted CPT codes to later CPT codes. The section presents the crosswalk changes at a high level without detailed coding rules.
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Official resources
Lists CMS reference materials and transmittals cited by the article for further review.
What You Will Learn
- How CMS telehealth coding updates affect behavioral health and preventive care reporting
- Which general categories of services were added to the telehealth list
- How deleted CPT telehealth services were crosswalked to newer CPT codes
- Which CMS guidance documents are referenced for follow-up
Who Should Read This
- Medical coders
- Billing staff
- Psychiatrists
- Psychologists
- Compliance professionals
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
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