2013 brings big coding changes for prescribers and non-prescribers alike. On the psychiatry front, perhaps the most notable change is the elimination of the med-management code 90862. The 908XX psychiatric code series (90807 and 90817, for example) which covered therapy with medical management for prescribers has been eliminated. Again, prescribers are directed to report medical management including therapy with an appropriate E&M code and one of the new 2013, prescriber-only, psychotherapy add-on codes based on the time spent in therapy. E&M codes, a territory where some psychiatrists might once have feared to tread, will now be an integral part of the billing required in the course of the psychiatric practice.
Other changes for behavioral healthcare CPT coding include the elimination and replacement of therapy codes in the 908XX series used by non-prescribers. The new psychotherapy codes have specific times rather than time ranges attached to their descriptions, but will follow the 15 minute CPT time rule ~ an important detail which will also require your investigation if you are not familiar with it.
2013 CPT Coding Changes for Psychiatrists and Behavioral Health Providers
10/28/2012
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