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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

July 2015

Payment Policy Update: Counseling Risk Factor Reduction


Effective for dates of service beginning October 1, 2015, Harvard Pilgrim will not cover the counseling risk factor reduction codes CPT 99401-99404 and 99411-99412 when they are billed in conjunction with a preventive exam or a problem-oriented visit. Because these services are already included as part of a preventive exam or problem-oriented visit, they should not be reimbursed as separate procedures.

For more information, please refer to Harvard Pilgrim’s updated Evaluation and Management Payment Policy.

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OFFICE ASSISTANT

Payment Policy Update: Coverage of CPT 99211

Payment Policy Update: Counseling Risk Factor Reduction

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator