2017 Coding Changes: Health Risk Assessment

One deleted code, 99420, and two new codes, 96160 and 96161.

96160 – Administration of patient-focused health risk assessment instrument (e.g., health hazard appraisal) with scoring and documentation, per standardized instrument

96161 – Administration of caregiver-focused health risk assessment instrument (e.g., depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument

This is usually performed by non-physician staff. It is per instrument so multiple units may be reported. We will keep an eye out for a MUE.

The physician/NPP services for interpretation and subsequent planning, etc. is reported separately with an E&M or other face-to-face service.

The section instruction on not reporting these codes if you are a professional who may report E&M is for codes 9615096155 only.

Codes 96110 and 96127 can be reported separately as long as the instruments are unique. I would anticipate a CCI edit for this

Comments are closed.