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TRICARE Policy Manual 6010.60-M, April 1, 2015
Medicine
Chapter 7
Section 16.2
Health And Behavior Assessment/Intervention
Issue Date:  March 11, 2002
Authority:  32 CFR 199.4(a)(1)
Copyright:  CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.
Revision:  
1.0  CPT PROCEDURE CODE RANGE
96150 - 96154
2.0  DESCRIPTION
Health and behavior assessment procedures are used to identify the psychological, behavioral, emotional, cognitive, and social factors important to the prevention, treatment, or management of physical health problems. The focus of the assessment is not on mental health but on the biopsychosocial factors important to physical health problems and treatment.
3.0  POLICY
Health and behavior assessment performed in conjunction with the medical or surgical treatment of a covered illness or injury is covered.
4.0  EXCLUSION
Family evaluation and assessment (without the patient present) (Current Procedural Terminology (CPT) procedure code 96155).
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