These updates to new E/M code guidance aren’t in your CPT manual

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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 explains selected 2018 CPT guidance affecting evaluation and management services for cognitive assessment and behavioral health integration. It is aimed at coders, billers, compliance staff, and clinicians who need to understand how the new CPT framework relates to prior HCPCS reporting and the broader outpatient and care-management setting.

Why This Topic Matters

The update highlights changes that affect how certain cognitive and behavioral health E/M services are recognized and reported in practice. It helps readers understand the scope of the new CPT material and why the accompanying guidance matters for compliant documentation and billing.

Article Sections

  1. Cognitive-assessment timeline set

    Discusses the new CPT cognitive assessment and care planning service and the general timing framework associated with it. It also situates the service within the E/M chapter and compares it to the earlier HCPCS framework.

  2. For BHI services, count inpatient time

    Summarizes guidance related to behavioral health integration and collaborative care management services. The section also addresses hospital and observation-status context, along with physician involvement under the updated CPT framework.

What You Will Learn

  • How the article frames 2018 CPT guidance for cognitive assessment and behavioral health integration services
  • What general kinds of timing and reporting topics are discussed for the updated E/M services
  • How the article positions the new CPT material in relation to earlier HCPCS-based reporting
  • Which behavioral health integration topics are addressed in the update
  • What broad compliance issues are associated with the new guidance

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Physicians and other qualified health care professionals
  • Practice managers

Codes Discussed

Code Ranges Discussed


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