Results 1 to 2 of 2

96150-96155 who can bill?

  1. #1
    Question 96150-96155 who can bill?
    Exam Training Packages
    I have a clinical psychologist who wonders if he can use the health/behavior assessment/intervention codes. He will be working with patients with chronic conditions who are being referred by their PCPs.

  2. #2
    Smile billing & auditing
    Psychologists use these code only. Per Medicare B Psychiatric Services Pubblished Jan 2012
    The AMA cpt book has the discription of the codes. Look at 2nd paragraph "The assessment is not focus on mental health but on the biopsychological factors important to physical health problems & treatments"....cpt book 2012 page. 517
    Note that 96155 is not covered by Medicare bcz it is not a face to face service with patient.
    There are some payers don't pay and others pay depends on the payer. Medicaid never pay for these service and it is stating on Medicaid behavioral health manual.
    Good luck

Similar Threads

  1. 96150-96155
    By sarame in forum Family Practice
    Replies: 2
    Last Post: 02-18-2015, 11:50 AM
  2. 96150-96155 - licensed clinical social worker
    By gtaylor37 in forum Behavioral Health
    Replies: 0
    Last Post: 02-15-2013, 12:47 PM
  3. 96150-96155
    By gtaylor37 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-14-2013, 11:45 AM
  4. Wiki Codes 96150 - 96155
    By yankees in forum Behavioral Health
    Replies: 5
    Last Post: 02-25-2012, 10:41 PM
  5. HELP! codes 96150-96155
    By tosullivan in forum Billing/Reimbursement
    Replies: 0
    Last Post: 12-01-2011, 04:52 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.

Get OurFREE2017SalarySurvey.

We'll email you a link to our 2017 Healthcare Salary Survey when it is available so you can see your earning potential.