Cognitive function intervention services are treatments that focus on improving a patient’s cognitive functioning including attention, memory, reasoning and executive function. Effective Jan. 1, 2020 a new base/add-on code pair have replaced both the previous untimed service code as well as the HCPCS code for reporting cognitive skills development services to Medicare beneficiaries. As such, CPT codes 97129/+97130 should be used when billing both commercial and federal insurers.
Cognitive Function Intervention Services
| CPT®
Code # |
Descriptor | wRVU |
| Cognitive Functioning Intervention Services | ||
| 97129 | Therapeutic interventions that focus on cognitive function (e.g., attention, memory, reasoning, executive function, problem solving and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (e.g., managing time or schedules, initiating, organizing and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes. | 0.50 |
| + 97130 | Each additional 15 minutes (List separately in addition to code for primary procedure) | 0.48 |
“+” Indicates an Add-On Code to be reported with primary service/base code
Below is a printer-friendly version of the descriptors list.
APA has developed a crosswalk between CPT code 97127 (2019) and the corresponding new codes (effective Jan. 1, 2020). This PDF is intended to assist psychologists as they make the transition.
Please continue to visit this webpage and monitor APA Services publications for additional information on these codes and other billing, coding and reimbursement topics.
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Date created: 2020