2023年1月13日 · Codes 96202 and 96203 are used to report the total duration of face-to-face time spent by the physician or other QHP providing group-based parents/ guardians/caregivers behavioral management/modification training services. There is also research that supports providing this service via telehealth.

CPT code 96202 represents a structured training program designed for multiple families, guardians, and caregivers of patients diagnosed with mental or physical health conditions. The primary purpose of this code is to facilitate behavior management and modification training, which is crucial for improving patient outcomes.

There is currently no code for behavior management/modification CTS that describes training for the caregiver(s) of a single beneficiary. The code descriptors for CPT codes 96202 and 96203 are specific to training provided in a group setting.

2025年2月12日 · CMS will recognize and pay for two existing CPT® codes, which in 2023 had a status indicator of bundled (96202 and 96203), and three new CPT® codes that will allow physicians and other qualified health care professionals to provide training for caregivers of patients (97550-97552)

2023年1月10日 · Code 96202 is used to report the first 60 minutes of service, and the add-on code, 96203, is used to report each additional 15-minute increment of service required to complete the service.

The Current Procedural Terminology (CPT ®) code 96202 as maintained by American Medical Association, is a medical procedural code under the range - Behavior Management Services. Subscribe to Codify by AAPC and get the code details in a flash.

2024年2月8日 · Codes 96202, 96203 and 97552 are used to report training for GROUPS of caregivers. These codes should not be billed per caregiver, but instead by session . Note codes 96202 and 96203 are time-based codes, but code 97552 is not and should be billed once per session, regardless of the time.

2022年10月1日 · For the Current Procedural Terminology (CPT ®) 2023 code set, a new subsection titled “Behavior Management Services” and two new codes (96202, 96203) have been established in the Medicine section. These new codes are used to report multiple-family group behavior management and modification training that is administered by a physician or ...

2025年3月4日 · These new codes are used to report multiple-family group behavior management and modification training that is administered by a physician or other qualified health care professional (QHP) for parents, guardians, and/or caregivers of patients with an unwanted or problematic behavior related to a mental or physical health diagnosis.

First, here are CMS’s own words on the new coverage: “For CY 2024, we propose to establish an active payment status for CPT codes 96202 and 96203 (caregiver behavior management/modification training services) and CPT codes 9X015, 9X016, and 9X017 (caregiver training services under a therapy plan of care established by a PT, OT, SLP).