Does the Medicare Outpatient Mental Health Treatment Limitation apply to services provided under the new codes?
No, under current Federal regulations, the Medicare outpatient mental health treatment limitation only applies to services provided to patients 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 rendered in the outpatient environment will be reimbursed at 80% (instead of the 50% that Medicare pays for mental health services) so long as the patients have a medical, and not a psychiatric diagnosis that falls within the regulation.
Related Questions
- Does the Medicare Outpatient Mental Health Treatment Limitation apply to services provided under the new codes?
- Does the Medicare Outpatient Mental Health Treatment Limitation apply to services provided under the codes?
- What is outpatient mental health treatment as provided by the public mental health system?
