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CPT 2018 HBAI changes
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1/25/2018 at 10:11:18 PM GMT
Posts: 1
CPT 2018 HBAI changes

For those programs/facilities that utilize PCBH/ warm hand-offs within primary care clinics, how are you handling and billing for the 96150-96152 visits that are on the same day as physician visit? According to 2018 CPT changes, it is my understanding that HBAI codes cannot be on the same day as E&M services. Thanks in advance for any insight and guidance!

Krystle Robinson



1/30/2018 at 8:44:28 PM GMT
Posts: 15
Krystle:

Good question. I'll post on our list serve for a potential answer to this also. I know in the past I have seen this kind of limitation for H&B codes but the infinite number of variations make remembering what you can't code hard to remember. I'll post back or have someone else post back with a reply as soon as I can.

Neftali Serrano, PsyD
Executive Director, CFHA &
Fan of All Things Integrated Care


2/21/2018 at 10:07:32 PM GMT
Posts: 15
Krystle:

This is the reply I got back on this. Not great news but there are workarounds that many clinics have made work.

From Lesley Manson:
"Yep. You don't bill. You can do a quick introduction and plan for a visit the next day – perhaps incorporate a screening tool and bill for that or identify further complexity for the pcp to operate with medical decision making in his current visit and bill for that(?)- those are your options – other than identifying 90832 psychotherapy type concerns and bill for an 18 min appt focused on other topics.

Wish I had better news!"

From Kent Corso:
"I agree with Lesley.

For same day services, you wrap the BHC's work into the PCP's and ensure the most comprehensive level of E&M is provided. Since the coding for that is also higher than the lower E&M + HBAI, clinics often favor this way of doing it.

I try to avoid next day services. Even with a brief meet and greet with the BHC, you get some lack of pt f/u. But if the pt prefers an appt on another day, care is provided via lower E&M by PCP on one day and HBAI by BHC on another day."

Hope that helps some.

Neftali Serrano, PsyD
Executive Director, CFHA &
Fan of All Things Integrated Care


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