Revenue Codes are equally subject to this coverage determination. Federal government websites often end in .gov or .mil. if(typeof ez_ad_units != 'undefined'){ez_ad_units.push([[320,100],'codingahead_com-box-3','ezslot_1',147,'0','0'])};__ez_fad_position('div-gpt-ad-codingahead_com-box-3-0');CPT 96160 is a medical billing code used to represent the administration of a patient-focused health risk assessment instrument, such as a health hazard appraisal, with scoring and documentation. All rights reserved. For re-assessment, detailed progress notes must include the following elements: Date of change in mental or physical status, Clear rationale for why re-assessment is required, Clear indication of the precipitating event that necessitates re-assessment, and, Changes in goals, duration and/or frequency and duration of services. Disclaimer: The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. The physician provides the age- and gender-appropriate history and examination and briefly discusses the positive depression screening result with the patient. Please refer to the Local Coverage Article: Billing and Coding: Health and Behavior Assessment/Intervention (A57754) for documentation requirements that apply to the reasonable and necessary provisions outlined in this LCD. In most instances Revenue Codes are purely advisory. resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; To report, see 96127, 96136, 96137, 96138, 96139. HCPCS/CPT Codes. Getting Paid for Screening and Assessment Services. AHA copyrighted materials including the UB‐04 codes and Use for both screening and follow-up of emotional and behavioral health conditions. Review the article, in particular the Coding Information section. Via Non-Standardized Instrument or Assessment If SDOH risk factors are determined by use of a non-standardized instrument or assessment, CPT codes 96160 or 96161 cannot be reported. Report code 96161 for a health risk assessment when focused on care-giver risk that may impact the patient's health (e.g., postpartum depression).
documentation requirements for cpt code 96160