Psychiatric CPT Codes Changing in 2013

Every year, changes are made to the Current Procedural Terminology® codes to reflect changes in actual practice of medicine and related fields. Use of these CPT® codes, as they are called, is required for reimbursement by insurance carriers. The American Medical Association establishes procedures including workgroups in various disciplines to assure that the codes keep up with the times. Since payment is based on the codes used, it is essential that providers keep informed about changes.

In 2013, significant changes to psychiatry and psychotherapy codes will occur. While those changes are not yet finalized, providers should understand what they are and be on the alert for the publication of the final codes.

The American Psychological Association participated with the American Psychiatric Association, the American Academy of Child and Adolescent Psychiatry, the American Nurses Association and the National Association of Social Workers to examine the definitions of the CPT psychotherapy codes. Most of the codes that have previously been used will be removed and new ones adopted.

Since these codes are the basis for payment for most behavioral health services, the billing of most behavioral health organizations will be affected. The National Council and other professional groups will be reporting on these changes. Stay tuned…


Current Procedural Terminology (CPT®) copyright 2012 American Medical Association. All rights reserved.

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