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Does the Medicare Outpatient Mental Health Treatment Limitation apply to services provided under the codes?

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No, the Outpatient Mental Health Treatment Limitation applies only to services provided to outpatients with a mental, psychoneurotic or personality disorder identified by an ICD-9 CM diagnosis code between 290 and 319. Health and behavior assessment and intervention services provided to outpatients are reimbursed at 80 percent. For additional information, contact our Government Relations Department at (202) 336-5889 or pracgovt@apa.org. Current Procedural Terminology (CPT) copyright 2009. American Medical Association. All Rights Reserved. FAQs on Billing for Health and Behavior Services.pdf (112.  more

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No, the Outpatient Mental Health Treatment Limitation applies only to services provided to outpatients with a mental, psychoneurotic or personality disorder identified by an ICD-9 CM diagnosis code between 290 and 319. Health and behavior assessment and intervention services provided to outpatients are reimbursed at 80 percent.  more

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