Can I bill the health and behavior CPT codes to both Medicare and private insurance carriers?
Medicare reimburses for five out of the six codes, with the exception of 96155 (family intervention without the patient present). Some private health insurance plans have begun to pay for these codes as well. Private insurance plans may have payment policies that are more or less restrictive than under Medicare. Psychologists should check with the private insurer about a plan’s payment policies regarding these codes.
