Billing / Billing Codes

Beginning January 1, 2020, new Health Behavior Assessment and Intervention (HBAI) Current Procedural Terminology (CPT) Codes were implemented.

An increasing number of clinical social workers have reported to NASW that paper claims submitted on the CMS-1500 form are being denied because boxes 14 and 15 were not completed.

Effective October 1, 2018, several code changes to the International Classification of Diseases-10-Edition-Clinical Modification (ICD-10-CM), will be implemented by the National Center for Health Statistics, a federal agency who created the files under the authorization of the World Health Organization.

In 2013, 90837 was one of several psychotherapy procedural codes introduced to health care professionals such as clinical social workers and the health insurance industry.

Each year the National Center for Health Statistics, releases new, updated, or deleted codes for the International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM). Clinical social workers should use the new codes to avoid reimbursement denials.

Clinical social workers are one of many health care professionals who will be required to use the ICD-10-CM coding system when identifying mental health disorders.