A claim for 99402 usually goes wrong long before it reaches the payer. The visit note says “counseled patient on lifestyle changes” with no minutes recorded, the diagnosis points to a
Read More
A physician spends fifteen minutes counseling a patient with a family history of early heart disease on diet and activity. The visit is valuable and the claim looks simple. Then the
Read More
A pediatric clinic sends out 400 well-child claims in a month. Every chart has a completed developmental questionnaire clipped inside, and every claim carries a 96110 line. Three weeks later, the
Read More
A dietitian sees a returning patient with type 2 diabetes for 30 minutes. The note reads “follow-up, reviewed food log, discussed carbs.” The claim goes out as 97803 for three units.
Read More
A psychologist spends 45 minutes with a 68-year-old who keeps losing the thread of conversations. She works through attention, language, memory, and planning. That evening she spends another 40 minutes interpreting
Read More
CPT code 97802 covers the first individual, face-to-face medical nutrition therapy (MNT) visit, where the dietitian performs an initial assessment and starts the intervention. It is billed in 15-minute units. Claims
Read More
CPT Code 96112: Complete Billing Guide (2026) Picture a developmental-behavioral clinic that spends 105 minutes on a Bayley-4 evaluation, scores it over two days, writes a full report, and submits one
Read More
CPT Code 99404 CPT Code 99404: Billing, Description, Time, Reimbursement & Cigna EAP Guide (2026) CPT code 99404 is a 60-minute preventive medicine counseling code, but behavioral health billing teams often
Read More
Mental Health Billing CPT Code 96113: Description, Billing, Reimbursement & 96112 Comparison CPT code 96113 never shows up on a clean claim by itself it’s an add-on code that only exists
Read More
A claim comes back denied, and the line item reads 99354. The biller checks the modifier, checks the diagnosis pointer, checks the payer portal for a coverage note. Nothing looks wrong
Read More
