ADHD is on the rise according to a new report from the CDC, and most youngsters with the diagnosis are receiving treatment for the disorder. But the report raises a number of clinical implications . . .
Plaintiffs in this lawsuit claim that CPT coding policy has resulted in decreased reimbursement for psychiatrists, who will now receive 20% less for evaluation and management services than what Anthem pays other physicians.
Changes will mean patients will only be covered for psychiatrists’ services that include medical evaluation and management; CPT coding will not allow for coverage of psychotherapy as a separate and equal category for payment.