Billing effectively with the new health and behavior current procedural terminology codes in primary care and specialty clinics.
The health and behavior current procedural terminology (CPT) codes introduced in 2003 have gained nationwide acceptance through Medicare and limited acceptance through third party payers. The codes facilitate accurate description and quantification of behavioral medicine services within a primary care or specialty clinic setting. The author reviews their appropriate utilization to enhance reimbursement and facilitate development of self-sustaining behavioral medicine programs. Information is provided on increased use and reimbursement of codes within psychology. Future directions for continued advocacy, increased acceptance, training, and research are discussed.
Miyamoto
Robin E S
RE
Department of Psychology, Tripler Army Medical Center, Honolulu, HI 96859, USA. robinmiyamoto@hotmail.com
D001524:Behavioral Medicine / Q000191:economics*; D039702:Current Procedural Terminology; D004470:Economics, Medical; D001330:Electronic Data Processing; D035082:Federal Government; D020408:Health Insurance Portability and Accountability Act; D006801:Humans; D011320:Primary Health Care / Q000145:classification / Q000191:economics*; D011586:Psychology, Clinical / Q000145:classification* / Q000191:economics*; D012051:Reimbursement Mechanisms; D013038:Specialization; D014481:United States