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 2023 and organized by specialty-specific CPT^® codes. Each CPT^® code includes its official description and lay description, coding tip, Medicare edits, and relative value units 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

·       NEW – Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in your practice. Now with CPT^® E/M Guidelines and our Optum Coding Tips, you have all the information you need to select the correct E/M code for the service provided. 

·       Procedure code icons. Quickly identify new, revised, add-on, and telemedicine procedure codes, making your coding process for procedures and E/M services quick and efficient.

·       ICD-10-CM code icons. Icons identify male and female only codes, as well as age-related and laterality diagnosis codes.

·       Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with the total RVUs for non-facility and facility are included.

·       Quickly find information. All the information you need is provided with the CPT^® code, including illustrations, lay descriptions, coding tips, clinical terms, Medicare RVUs and IOM references, and commonly associated ICD-10-CM diagnosis codes.

·       CPT^® Assistant references. Identify 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.

·       Avoid claim denials and/or audits. Medicare payer information includes references to Internet Only Manual (IOM) guidelines and follow-up days.

·       CCI edits by CPT^® and HCPCS procedure code. CPT^® and HCPCS procedure codes with their associated CCI edits are provided in a special section. Quarterly updates are available online at Optumcoding.com Product Update / Support page.

CPT^® is a registered trademark of the American Medical Association.