decisionhealth Newsletters, Coder Pink Sheets - 2016 Issue 9 (September)
Proposed G codes pay for psychiatric, care management, mobility services
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Article Overview
The article explains proposed 2017 Medicare physician fee schedule changes that would add temporary G codes for several categories of care coordination and assessment services. It is aimed at clinicians, coders, and billing professionals who need to understand the scope of the proposal, the affected service types, and how CMS framed these additions within broader payment policy. The discussion also notes related coding interactions, temporary reporting expectations, and the transition path CMS described for future CPT adoption.
Why This Topic Matters
These proposals affect how Medicare may recognize and pay for time-intensive behavioral health, cognitive impairment, care management, and disability-related office visit services. Readers working in coding, reimbursement, and practice operations need to know which service areas are being addressed and how the new reporting options fit into existing fee schedule policy.
Article Sections
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Behavioral health management
Introduces the proposed behavioral health integration reporting options and the service categories they are intended to address. The section discusses the overall Medicare framework for these temporary G codes and their place in care coordination.
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Cognitive impairment assessment and care planning
Covers the proposed reporting option related to cognitive impairment assessment and recorded care planning. The section also notes the article’s discussion of same-day billing considerations and related service categories.
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Mobility-restricted patient services
Describes the proposed add-on reporting option for services associated with patients who have mobility-related disabilities. The section focuses on the broader reimbursement context and the type of office-based encounters involved.
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New proposed G codes, descriptions and payments, 2017
Presents the summary table of the newly proposed G codes and their estimated payment amounts. This section serves as a reference point for the article’s discussed service categories and fee schedule proposal.
What You Will Learn
- The general categories of Medicare services addressed by the proposed 2017 G codes
- How CMS framed temporary reporting options for behavioral health and care management services
- Which broad service areas are associated with cognitive assessment, chronic care-related assessment, and mobility-related office visits
- How the article situates the proposal within the Medicare physician fee schedule update process
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Primary care practices
- Behavioral health integration teams
- Physicians and other qualified health care professionals
Codes Discussed
Code Ranges Discussed
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