98972 Insurance Policy Changes

CPT 98972, in plain terms, covers An adult receives a comprehensive evaluation and treatment planning session lasting over 20 minutes with a behavioral health professional. CPT 98972 is referenced in 5 tracked payer policy changes from Independence Blue Cross. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 98972 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 98972 on AAPC