NYSPA Insurance Committee Special Bulletin
New York State Psychological Association
Insurance Committee Special Bulletin
CPT Codes changes to 908… series effective January 2013
Many of you may have received an email from the New York Psychiatric Association indicating changes to psychiatry CPT Codes. As a result I want to inform the membership that there will be changes to the psychiatric codes as they involve the 908.. series of codes. The most drastic for psychiatrists is the elimination of 90862 and the switch over to E & M codes (99 codes) as well as changes to 90801 which will have a modified use, one for psychiatrists and one for psychologists and social workers. Deleted codes will include 90804 – 90809, 90810 -90815, 90816-90822, 90823-90829 and 90857. It is not clear what the substitute codes will be as of yet or if a decline in reimbursement will be associated with these changes.
By mentioning the deleted and modified codes you can all see that this will affect the entire behavioral health provider community. I am sure you are all asking so now what? There is limited resources to point us to the new coding, reason for this is that a AMA work group that was comprised of Psychiatrists, Nurses, Psychologists and Social Workers were bound to a confidentiality agreement after working on this initiative with AMA and much of the information going forth will be released with the new AMA CPT Code book on October 15, 2012.
What New York State Psychological Association will do?
Continue to monitor any new information in the next 4 weeks before the AMA CPT Code book is set for release.
Contact APA to see if they will share any updated information with our membership.
Contact major insurance companies in New York to make sure they are also on board with any changes and how this will affect provider contracts .
Order (pre-order now) AMA CPT Code 2013 book. Released on 10/15/2012.
What Psychologists should do?
If feasible order a AMA CPT Code 2013 book. Released on 10/15/2012. Check all contracts where you are an in network provider and give a call to the company to see if there will be any changes that they will make to your contract or reimbursement. Those changes would most likely happen in writing or through their web portal.
Important Additional Timeline:
October 15, 2012 – Release of AMA CPT Code 2013 (Procedure terminology) January 2014 – ICD -10 – Part of the Affordable Care Act where the procedure code moves from the 9 series to the 10.