Intensive Behavioural therapy for Cardiovascular disease


According to the new Medicare National Coverage determinations manual and the Medicare Claims Processing manual – Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes, is only covered in a primary care setting when the place of service is one of the following:

  • 11 – Office
  • 19 – Outpatient hospital, off campus
  • 22 – Outpatient hospital, on campus
  • 49 – Independent clinic
  • 71 – Public health clinic

This will affect all the Inpatient/Outpatient facilities and Physicians/Health care providers effective from 04/06/2017.

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