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Questions about 2013 Psychotherapy CPT Codes
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Questions about new psychotherapy CPT codes:

Practicing psychologists continue to have questions about the new psychotherapy codes for 2013. Follow this link for answers: http://apapracticecentral.org/codes.
 
The rejection of a valid Current Procedural Terminology (CPT) code is a violation of HIPAA. Included within the Healthcare Common Procedure Coding System (HCPCS) code set, CPT is one of the code sets adopted under HIPAA.  HIPAA covered entities (CEs) who conduct covered transactions - including payers - are required to use and accept the current applicable medical data code set valid at the time the health care is furnished and for reimbursement.  
 
The CPT manual for use of the 2013 CPT codes states that the effective date for use of the 2013 CPT code set was January 1, 2013. You can find the voluminous rules that refer to covered transactions at http://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative-Simplification/TransactionCodeSetsStands/index.html?redirect=/TransactionCodeSetsStands/02_TransactionsandCodeSetsRegulations.asp#TopOfPage if you are interested.

 
To file a HIPAA complaint through the Office of Civil Rights, go tohttp://www.hhs.gov/ocr/privacy/hipaa/complaints/index.html for a template of complaint letters and use one to craft your letter. 

Additionally you may want to file a complaint with your state insurance commissioner, if claims are denied because of rejection of the new CPT codes.
 
 
For additional questions, contact APA Practice Organization by phone @ 202-336-5889 or email at: practgovt@apa.org.

    



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