The Coding and Payment Guide for Behavioral Health Services is your one-stop coding, reimbursement, and documentation resource developed exclusively for behavioral health. This comprehensive and easy-to-use guide is updated for 2019 and organized by specialty-specific CPT® codes. Each code includes its official description and lay description, coding tip, documentation and reimbursement tips, Medicare edits, and is cross-coded to common
ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.
Key features and benefits of this Optum360 specialty coding guide:
- New—Evaluation and Management Services. Evaluation and Management CPT® codes commonly used in your specialty are now included with their official description, lay description, coding tip, Medicare edits, and relative value units. Also included is a chapter with coding guidelines and tables to assist you in the E/M code selection process.
- Code icons. Quickly identify new, revised and add-on procedure codes related to your specialty.
- 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.
- 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, clinical terms, Medicare IOM references, CPT® Assistant references, and commonly associated ICD-10-M diagnosis codes.
- Avoid claim denials and/or audits. Medicare payer information includes references from Internet Only Manual (IOM) guidelines, follow-up days, and modifier usage.
- CCI edits. Includes a section with CCI edits for CPT® and HCPCS procedure codes with quarterly updates available online.
- 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 services are included.
CPT is a registered trademark of the American Medical Association.