Change in CPT Code for IEP/IFSP Psychological Assessments and More

Beginning in the first quarter of 2019, due to a change from the American Medical Association (AMA), DHCS will be eliminating the Current Procedural Terminology (CPT) Code 96101 for IEP/IFSP Psychological Assessments and replacing it with CPT Code 96130. This will apply to all assessment types of Initial, Triennial, Annual and Amended. The interim rates and modifiers will remain unchanged. Paradigm has been preparing and is ready to bill under these codes once the final DHCS Policy and Procedure Letter (PPL) is released.

In October, DHCS held their Joint School-Based Medi-Cal meeting. They have posted the presentation slides used for that meeting on their website here.

Lastly, the Report to the Legislature for Fiscal Year 2016-17 has been published and can be found by clicking here.