tci Medicare Compliance & Reimbursement - 2007 Issue 36
CPT 2008: You May See Money For Substance Abuse Counseling
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Article Overview
This article reviews expected CPT updates for 2008 that could affect reimbursement for non-face-to-face patient services, including behavioral change counseling, telephone services, and online evaluation and management visits. It focuses on the uncertainty around Medicare payment, the need to watch payer policy changes, and the relevance of diagnosis selection and coverage status for practices that provide substance abuse-related counseling and other ongoing patient communication services.
Why This Topic Matters
It helps coding and billing professionals understand which upcoming CPT categories may be relevant to their workflow and why payer adoption, especially Medicare, can determine whether those services are reimbursable.
What You Will Learn
- The general types of CPT 2008 service categories discussed in the article
- Why Medicare coverage decisions can affect reimbursement for new codes
- How payer policy uncertainty can create coding and billing questions for outpatient communication services
- What broader documentation and diagnosis considerations may come into play for behavioral health-related services
Who Should Read This
- Medical coders
- Billing specialists
- Practice managers
- Reimbursement staff
- Compliance personnel
- Behavioral health billing professionals
Codes Discussed
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