semb2022
New
Which type of provider is allowed to bill for CPT code 96156?
Thank you - that is VERY helpfulI found this on a legal website, so I don't know if CMS agrees, but:
Qualified mental health professional means any one of the following: psychiatrist, psychiatric nurse, practicing psychologist, psychiatric social worker, an individual with at least a masters degree in a related human service field and two years of supervised clinical experience in mental health services or an individual with a baccalaureate degree in a related human service field and four years of supervised clinical experience in mental health services
**edited to add the link to the site (I like to provide sources):
read the information above the CPT code in your CPT manual. it discusses this.
Yes, I received an answer from CMS and AAPC. According to CMS's NCD A57754 ONLY CP (Clinical Psychologists) can report the code.Same question. Did you ever get an answer?
That verbiage is noted in A57754, but that is not an NCD; it's an LCA from FCSO.Yes, I received an answer from CMS and AAPC. According to CMS's NCD A57754 ONLY CP (Clinical Psychologists) can report the code.