AAPC - Back to school
Results 1 to 5 of 5

Thread: Behavioral Health Coding - My office has asked me

  1. #1
    Join Date
    Apr 2007

    Default Behavioral Health Coding - My office has asked me

    AAPC: Back to School
    My office has asked me to start coding for our behavioral health services. We employ a CSW and a psychiatrist and this will only be office visits, no in patient coding. Does anyone know of any good resources or tutorials that will help me to get my feet wet. The office has purchased "coding and billing for behavioral health 2008 by Medical Management Institute. However, it does not break down the different billable codes into specifics for documentation requirements. Does anyone know of any good resources out there? Thanks
    Heather Winters, CPC, CFPC

  2. #2
    Join Date
    Apr 2007
    Louisville, KY


    I will recommend the use (as a resource) of a DSM-IV-TR. It's worth the investment. I penned an article for Coding Edge on the topic of bridging ICD-9 and DSM-IV. I believe it ran in the Sept. 2007 publication.

    By no means am I attempting to be self-promoting, but that may assist you in understanding the differences between mental health vs. surg/med coding.

    There should certainly be some specific resources listed in DSM for you as well as those that others on the forum will recommend.

    Good luck.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3
    Join Date
    Apr 2007

    Default Dsm Iv

    Thank you for taking the time to reply to my post. I read your article and found it very informative and interesting. I have requested that the DSM IV TR be ordered. In addition, I read the local coverage determinations for CPT codes related to psychotherapy, medication management and evaluation services. I cant wait to get my feet wet.

    A couple of things stuck out immediately when reviewing the local coverage determination :

    Severe and profound mental retardation is never covered for psychotherapy. I was also intrigued in the difference between insight oriented and interactive psychotherapy, and its proper documentation.

    There was also further clarification about the misuse of 90801 when performed in the office setting and its inappropriate reporting during the same spell of illness. 90801 cannot be billed by the CSW for the initial social history evaluation he performs and then again by the psychiatrist for her Psychiatric Assessment visit. It recommends that the physician report the appropriate E/M service instead.
    Heather Winters, CPC, CFPC

  4. #4
    Join Date
    Apr 2007

    Default New to Psychiatry practice

    I am glad to see this string of information! I am a new manager in the department with limited psych experience. Can anyone tell me in one sentence the difference between psychoanalysis and psychotherapy. I know about the difference in "skill level" of the provider, but can't get my finger on the real difference clinicaly.


    PS I plan to find a friendly doc to talk to, but would appreciate a coder's insight.

  5. #5
    Join Date
    Apr 2007
    Loma Linda CA

    Default Behavioral health coding

    AAPC coding edge Sept 2011 has a really good article on this very subject.

    Hope this helps!


Similar Threads

  1. Behavioral Health Dx Coding
    By kayoverbeyxx in forum Diagnosis Coding
    Replies: 2
    Last Post: 10-28-2015, 09:45 AM
  2. Behavioral Health Coding - I just accepted
    By slee2181 in forum Behavioral Health
    Replies: 2
    Last Post: 04-08-2014, 11:04 AM
  3. behavioral health coding
    By cestubbs in forum Behavioral Health
    Replies: 0
    Last Post: 11-05-2012, 03:18 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.