New Codes to Report Cognitive Function Intervention Services

New codes for these services took effect Jan. 1, 2020. 

Effective for 2020, psychologists need to use two new CPT® codes for reporting cognitive function intervention services.

As part of their annual update to coding and payment policies, the Centers for Medicare and Medicaid Services (CMS) eliminated the previous service code (97127) and replaced it with the two new codes which should be reported using the modernized base/add-on coding structure:

  • 97129: Therapeutic interventions that focus on cognitive function (e.g., attention, memory, reasoning, executive function, problem solving and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (e.g., managing time or schedules, initiating, organizing and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes.

o  Work RVU: 0.50

  • +97130: Therapeutic interventions that focus on cognitive function (e.g., attention, memory, reasoning, executive function, problem solving and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (e.g., managing time or schedules, initiating, organizing and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure).

o  Work RVU: 0.48

+ indicates an add-on code

The new base/add-on code pair for reporting cognitive function was created because this service has changed from an untimed to a timed-based service. Psychologists must now use the stand-alone base code, 97129, to report the first 15 minutes of performing the primary service, and a 15-minute add-on code, 97130, which can be reported in multiple units, to report additional time (beyond the initial 30 minutes) required to complete the overall service.

CMS’ approval of the 2020 CPT codes for cognitive function intervention also means that G0515 — a code in the Healthcare Common Procedure Coding System used for reporting cognitive skills development services provided to Medicare beneficiaries — will be deleted. Therefore, effective Jan. 1, 2020, CPT codes 97129/+97130 should be used when billing both commercial and federal insurers.

 

APA: Open 2020 Calls for Comments

Posted: January 23, 2020

Guidelines for the Evaluation of Dementia and Age-Related Cognitive Change
The Task Force to Update the 2011 Guidelines for the Evaluation of Dementia and Age-Related Cognitive Change is preparing to update the guidelines and is accepting comments to inform its work.
Deadline: Feb. 15, 2020


Resolution on Ending Homelessness
APA’s Committee on Socioeconomic Status is accepting comments for the revised Resolution on Ending Homelessness. All APA boards and committees, divisions, affiliated psychological associations, and other appropriate groups and individuals are asked to provide comments.
Deadline: Feb. 28, 2020


Guideline for Assessment of and Intervention with Person with Disabilities
Deadline: Feb. 28, 2020


CRSPPP Petitions Posted for Public Comment
The APA’s Commission for the Recognition of Specialties and Proficiencies in Professional Psychology (CRSPPP) is accepting comments for specialty and proficiency petitions.
Deadline: March 6, 2020

 

Happy New Year From CPA!

Remember to check out our calendar to see new events that will be happening throughout this upcoming year! You don't want to miss out on the great opportunities in 2020. 

 

Resolution on Ending Homelessness

Posted: January 7th, 2020

The APA’s Committee on Socioeconomic Status is accepting comments for the revised Resolution on Ending Homelessness. 

Link to Commenthttp://apaoutside.apa.org/PubIntCSS/Public/default.asp

Deadline for Comments: February 28, 2020

Policy Review

 

Public Comments for Guideline for Assessment of and Intervention with Person with Disabilities

Posted: January 6th, 2020

APA is looking for comments for Guideline for Assessment of and Intervention with Person with Disabilities. Submit your comments here

 
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