Behavioral Health|Drug Rehab Articles and Resources

2021 Behavioral Health Cheat Sheet

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Code Sets

Psychiatry CPT Codes

CPT Codes for Psychiatry, Psychotherapy, etc.

ICD-10-CM Codes

ICD-10-CM codes for Mental, Behavioral and Neurodevelopmental disorders.

Health and Behavior Assessment CPT Codes

Health and Behavior Assessment/Intervention Procedures

Central Nervous System CPT Codes

Central Nervous System Assessments/Tests

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Validate using NCCI edits for errors in code selection.

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Additional Links and Resources

Noridian: Mental Health Resources

Noridian JE Part B Mental Health Resources

Mental Health Services Booklet

CMS Mental Health Services Booklet

Drugs and Biologicals Pub-100 Ch 17

Drugs and Biologicals Pub-100 Ch 17

CMS Substance Abuse

Medicare Coverage of Substance Abuse Services

Billing Requirements for OPPS

Billing Requirements for OPPS Providers with Multiple Service Locations

VPAT Template

Vpat Template

Select the title to see a summary and a link to the full article.

How To Properly Report Prolonged Services Using 99417 or G2212

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Prolonged Evaluation & Management codes underwent big changes in 2021, including the creation of a new prolonged code (99417), reportable only with codes 99205 or 99215. While Medicare has agreed to accept the AMA's CPT E/M coding changes, they have formulated an opinion contrary to how CPT calculates time specific ...

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Stay out of Trouble — Understand the Qualified Medicare Beneficiary (QMB) Program

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To assist low-income Medicare beneficiaries, CMS created the Qualified Medicare Beneficiary (QMB) program; a Medicaid benefit which pays for Medicare deductibles, coinsurance, or copays for any Medicare-covered items and services for Medicare Part A, Part B, and Medicare Advantage (Part C). Providers/suppliers are prohibited from billing premiums and cost sharing to Medicare beneficiaries who are enrolled in QMB.

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ICD-10-CM Official Coding and Reporting Guidelines Updated for COVID-19

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The ICD-10-CM Official Coding and Reporting Guidelines have just been updated to include COVID reporting. Additional information beyond the previously released interim guidelines are included. These are the rules that should be followed for claims submission. The notice states that this is for April 1, 2020 through September 30, 2020.

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CPT 2020 Changes to Psychiatry Services

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As of January 1, 2020, CPT made changes to the health and behavior assessment and intervention codes (96150-96155) and therapeutic interventions that focus on cognitive function (97127). If you code and audit services in this category, you must pay close attention to the changes as they include the removal and ...

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