Help! My Bill Codes Have Changed!
As of January 1st, 2013, the CPT billing codes that affect mental & behavioral health were changed, and the old codes can no longer be used. If you missed the warnings about this transition and didn’t have the new codes in place, you’ll want to make the switch as soon as possible. There are lots of resources available, but the most important guide to follow is the AMA 2013 CPT® code book (click here to purchase), as this is the definitive guide to ensure compliance. As we recently found out, Medicaid audits can be failed if the bill code description does not match the actual code, so it’s imperative not only use the mandatory new codes, but also ensure all bill code information is accurate and in compliance.
Some of the biggest changes include:
- add-on code 90785 will need to be paired with interactive psychotherapy codes, especially when other people are present, such as family members or interpreters
- psychiatry will change how they bill for medical services, sometimes using up to 3 codes, including E/M (evaluation & management)
- new basic psychotherapy codes are no longer site specific but are now time specific: 30, 45 or 60 minutes, and sessions longer than 60 minutes will likely not be reimbursed for the additional time
- New codes have been added for crisis situations
At PIMSY EMR, we have gone above and beyond to prepare and educate about these changes. In addition to a huge system-wide update to allow for proper bill coding, we’ve also offered: multiple blog posts; Q&A documents; a pdf guide; free weekly webinars; a LinkedIn client group; forums on the Help Desk; and more.
Leigh-Ann Renz is the Marketing & Business Development Director of PIMSY EMR.