DecisionHealth, DecisionHealth - 2023 Issue 12 (December)

New coding guidance: CMS will cover caregiver training for behavioral and functional care

Medicare finalized coverage of five caregiver training codes, effective Jan. 1, 2024. The decision paves the way for reimbursement when a provider such as a physical therapist, physician or physician assistant trains a patient’s friend or family member to provide behavior management or modification (96202-96203) or to improve a patient’s ability to perform activities of daily living (ADL) (97550-97552) when the patient is not present.

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