What is the CPT code for 96127?

What is the CPT code for 96127?

CPT Code 96127 is a generic mental health screening code that is covered by most major insurances. It is designed to pay for the evenly applied screening of a large patient population to uncover underlying mental health conditions.

Does CPT 96127 need a modifier?

Most insurances require modifier 59 when using CPT code 96127. Please check with each insurance provider for specific guidelines. NOTE: Modifier 25 should be appended to the E/M and modifier 59 should be appended to the 96127 CPT code.

Does Medicare pay for CPT 96127?

Many major health insurance companies reimburse for CPT code 96127, including Aetna, Cigna, Medicare, and United Health Care. The average reimbursement is $6 per screener.

Is there an age limit for CPT 96127?

Depression screening, reported with 96127, is typically a covered preventive service for ado- lescents age 12 to 18 and is a quality measure in many pediatric quality initiatives. This code may also be reported for depression screening in adult patients other than Medicare benefi- ciaries.

What providers can bill 96127?

CPT Code 96127 is reimbursed by many major insurance companies, including Cigna, Humana, Aetna, Anthem and Medicare.

Who can perform CPT 96127?

Who can bill CPT code 96127? Screening and assessment has to be completed under an MD supervision, and a MD needs to file the report. It means that, for example, primary care physicians can also bill it – not only psychiatrists.

How do I bill a PHQ 9?

CPT Code 96127 (brief emotional /behavioral assessment) can be billed for a variety of screening tools, including the PHQ-9 for depression, as well as other standardized screens for ADHD, anxiety, substance abuse, eating disorders, suicide risk • For depression, use in conjunction with the ICD-10 diagnosis code Z13.

What is the difference between 96110 and 96127?

Codes 96110, 96160, and 96161 are typically limited to developmental screening and the health risk assessment (HRA). However, code 96127 should be reported for both screening and follow-up of emotional and behavioral health conditions.

Is 96127 a billable code?

Fees associated with the 96127 CPT code can be almost $25 per administration and are billable up to four times per year. A variety of sources are now offering tools for behavioral health professionals to quickly and easily be implementing such a service, and billing automatically.

Can you bill depression screening with annual wellness visit?

A Depression Screening (G0444) is a required component within the initial Annual Wellness Visit (G0438) and should not be billed separately. If a depression screening is completed at the time of a subsequent Annual Wellness Exam (G0439), then billing both codes would be appropriate, G0439 and G0444.

How do you use CPT code 96127?

Use of the 96127 CPT code is appropriate when a single or small number of screening instruments is being used, for example, as part of a standard clinical intake. Scoring and its documentation should be in the patient/client record, but direct involvement is not necessarily required.

Who can bill for 96112?

physician
CPT 96112 (Developmental test administration by physician or other qualified healthcare professional, with interpretation and report; first hour) was added to replace 96111.

When to use CPT code 96127 for Medicaid?

 Medicaid will reimburse providers for CPT Code 96127 to a maximum of two units per visit. The EP modifier should always accompany the code when a Medicaid beneficiary under 21 years old receives an emotional/behavioral health screen in a preventative service, sick child or E/M encounter.

What does CPT code 82962 stand for?

CPT code 82962 describes the method when whole blood is obtained (usually by finger stick device) and assayed by glucose oxidase, hexokinase, or electrochemical methods and spectrophotometry using a small portable device designed for home blood glucose monitoring use.

Can a CPT code 96160 be used for CRAFFT?

 CPT Code 96160 may not be used to claim a stand-alone administration of a CRAFFT (CPT Code 96127) brief screen.  Refer to the current HCPG for examples of other scientifically validated screening tools for adolescent health risk. Alcohol and Substance Abuse Screening and Brief Intervention (i.e., CRAFFT) pg. 25

Is it safe to do glucose 82948 and 82962?

82962 is column one code, 82948 is column two code and a one is in the modifier column. Now, having listed this, I don’t really see a reason to do both tests simultaneously, so I wouldn’t report both. Unless your Dr can give you a medically necessary reason to do both tests I wouldn’t.