2021 Coding and Payment Guide for Behavioral Health Services

Optum360 | 2021 | Nannette Orme



185.95
List Price

Item #: SYCH21
ISBN: 9781622546213
Available: Dec 2020



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 2021 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.
  • NEW – ICD-10-CM code icons. New icons identifying male- and female-only codes, as well as age-related and laterality diagnosis codes.
  • Procedure code icons. Quickly identify new, revised, and add-on procedure codes, making your coding process quick and efficient.
  • 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. 
  • 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 Internet Only Manual (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 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.

Nannette Orme, CPC, CCS-P, CPMA, CEMC

Ms. Orme has more than 20 years of experience in the healthcare profession. She has extensive background in CPT®/HCPCS and ICD-9-CM coding and has completed comprehensive ICD-10-CM and PCS training. Her prior experience includes physician clinics and healthcare consulting. Her areas of expertise include physician audits and education, compliance and HIPAA legislation, litigation support for Medicare self-disclosure cases, hospital chargemaster maintenance, workers' compensation, and emergency department coding. Ms. Orme has presented at national professional conferences, contributed articles for several professional publications, and served on the advisory board of a local college. She is a member of the American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA).

CPT is a registered trademark of the American Medical Association.