CPT code changes go into effect in 2019

335 CPT code changes

Need help understanding the new CPT codes? We’ve summarized all the important coding updates below to help get you up to speed by January 1st. The American Medical Association will release 335 changes to the Current Procedural Terminology (CPT) coding structure, which will apply to services rendered on or after January 1st, 2019. Healthcare professionals in a diverse range of specialties are affected by these updates, but the biggest changes are for practices who do extensive psychological or neuropsychological testing.

How are CPT codes changing?

Most of the changes were to accomplish one of the following goals:

  • Distinguish between services performed by a specialist versus a technician
  • Specify simple versus complex testing protocols
  • Incorporate the total time spent on a test—including selection of the right test, testing itself, analysis, and discussion with the client.

The following codes will change:

  • 96101
  • 96102
  • 96116
  • 96118
  • 96119

Changes to codes for Psychological Testing and Neuropsychological Testing:

Psychological Testing

The 2019 updates to Psychological Testing codes  are meant to add more detail about what services were performed and who performed the service. Because of this, codes 96101 and 96102 will be replaced with the following four codes:

  • 2 for the initial service (96103 and 96131), and
  • 2 add-on codes for additional time (96136 and 96137).

CPT Code updates for 2019

Neuropsychological Testing

Codes 96118 and 96119 are being replaced by multiple codes which provide more detail about who performed the service. For example, code 96116 will no longer be billed in units, but will include add-on code for additional time after the first hour.

CPT Code updates for 2019

What does this mean for my SimplePractice account?

Starting on January 1st, 2019, we are removing the deprecated codes as defaults from our system, and adding some of the most relevant new CPT codes as default options. As always, if we don’t currently have a relevant CPT code, you can create it on your Billing and Services page. If one of the deprecated codes is currently included as one of your practice’s Services, those will be preserved so you can make the updated fee changes you need for your practice.

To learn more about how to use these codes in your practice and adjust to the changes, the APA has provided several great resources:

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