The Coding and Payment Guide for Behavioral Health Services is your one-stop coding, billing, and documentation guide to submitting claims with greater precision and efficiency. This guide has the latest behavioral health-specific, 2018 CPT and HCPCS procedure, ICD-10-CM and HCPCS Level II code sets along with Medicare payer information, CCI edits, helpful code descriptions, and clinical definitions.
Key Features and Benefits
New Code icons. Quickly identify new, revised and add-on procedure codes related to behavioral health.
New CPT Assistant references. Identifies that an article or discussion of the CPT code has been in the American Medical Association s CPT Assistant newsletter. Use the citation to locate the correct volume.
Optum360 Edge HCPCS procedure codes. Only Optum360 offers HCPCS procedure codes specific to your specialty with the same information as we provide for CPT codes.
Quickly find information. All the information you need is provided, including CPT full code descriptions, lay descriptions, coding tips, procedure code-specific documentation and reimbursement tips, CPT Assistant references, and Medicare references.
Avoid confusion with easy-to-understand descriptions. Includes clear lay explanations of procedures represented by CPT and HCPCS procedure codes.
Prevent claim denials and stay up-to-date with Medicare payer information. Review Medicare Pub. 100 references containing information linked to HCPCS Level II and CPT codes tailored to anesthesia, to prepare cleaner claims before submission.
Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with total RVUs for non-facility and facility for procedures are included.
CCI edits by CPT and HCPCS procedure code. CPT and HCPCS procedure codes with associated CCI edits in a special section and quarterly updates available online.
CPT is a registered trademark of the American Medical Association.
