CPT Codes | Associated ICD-10-CM Codes |
---|---|
96127 Brief emotional screener (PHQ-9/A) | Z13.30 Encounter for mental health and behavioral screening F32.9 Major depressive disorder, single episode |
96160 Health risk assessment (DAST-10) | Z13.30 |
Unspecified abnormalities of heart beat. R00.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM R00.9 became effective on October 1, 2019. This is the American ICD-10-CM version of R00.9 - other international versions of ICD-10 R00.9 may differ.
Nonpsychotic mental disorder, unspecified. F48.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM F48.9 became effective on October 1, 2018.
2018/2019 ICD-10-CM Diagnosis Code F48.9. Nonpsychotic mental disorder, unspecified. 2016 2017 2018 2019 Billable/Specific Code. F48.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
2018/2019 ICD-10-CM Diagnosis Code Z13.89. Encounter for screening for other disorder. Z13.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10 code Z13. 31 for Encounter for screening for depression is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Code Z13. 89, encounter for screening for other disorder, is the ICD-10 code for depression screening.
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.
851, “Suicidal ideation.”ICD-10 code Z13. 39, “Encounter for screening examination for other mental health and behavioral disorders,” can be reported with CPT code 96127 when anxiety assessments are given to asymptomatic patients.
39 (Encounter for other screening for malignant neoplasm of breast). Z12. 39 is the correct code to use when employing any other breast cancer screening technique (besides mammogram) and is generally used with breast MRIs.
ICD-10 code Z13. 40 for Encounter for screening for unspecified developmental delays is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Code 96127 can be applied for each standardized test that is administered, scored, and reported. 96127 is billed for each test, it is a timed code stating individual tests can take from 10-45 min to complete.
If multiple screenings are performed on a date of service CPT 96127 should be reported with the number of test as the number of Units. NOTE: Modifier 25 should be appended to the E/M and modifier 59 should be appended to the 96127 CPT code. For Example: 99214 25.
Many major health insurance companies reimburse for CPT code 96127, including Aetna, Cigna, Medicare, and United Health Care.
CPT code changes for health risk assessments take effect Jan. 1Instrument96127Modified Checklist for Autism in Toddlers (MCHAT)Patient Health Questionnaire (PHQ-2 or PHQ-9)XParents' Evaluation of Developmental Status (PEDS)Pediatric Symptom Checklist (PSC)X14 more rows•Nov 4, 2016
Service 96127 is not a preventive service. It is can be billed by specialist only (regarding credentialing list).
96127 Time Length There is no designated time length for CPT code 96127. Each assessment and subsequent scoring will vary in length. (Source) As noted in the description of this procedure code, these assessments are often brief with multiple units (up to 4 per session) being used per visit.
Encounter for screening for depression 1 Z13.31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z13.31 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z13.31 - other international versions of ICD-10 Z13.31 may differ.
The 2022 edition of ICD-10-CM Z13.31 became effective on October 1, 2021.
The 2022 edition of ICD-10-CM F48.9 became effective on October 1, 2021.
Class of mental disorders milder than psychosis, including hysteria, fugue, obsession, phobia, etc. Disorders in which the symptoms are distressing to the individual and recognized by him or her as being unacceptable. Social relationships may be greatly affected but usually remain within acceptable limits.
The 2022 edition of ICD-10-CM J93.9 became effective on October 1, 2021.
Pneumothorax; abnormal presence of air in the pleural cavity resulting in the collapse of the lung.
Pneumothorax ; abnormal presence of air in the pleural cavity resulting in the collapse of the lung.
To use modifier 59, documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual.
Also, if billing with screening diagnosis codes, you may be denied when billing for anxiety screening because it is not a recommended preventive service. Screening for depression is recommended for patients 12 and over but only once per year.
It may help to double-check that each claim line is linked to the appropriate diagnosis code. Since the MUE for 96127 is two, claims with two units of service should not deny but check the reimbursement policies of individual health plans.