New Coding Policy for Psychiatry/Psychotherapy Services for Professional Providers
AI Summary
Blue Cross Blue Shield of Texas is implementing a new Clinical Payment and Coding Policy (CPCP051) for psychiatry/psychotherapy services effective December 22, 2025. This policy provides comprehensive billing and coding guidance for behavioral health services including psychiatric evaluations, psychotherapy, crisis interventions, and pharmacologic management.
Action Required
Before December 22, 2025: Billing team must review and implement new CPCP051 policy for all psychiatry/psychotherapy billing. Update billing procedures to align with new guidance for psychiatric diagnostic evaluations, psychotherapy sessions, crisis interventions, and pharmacologic management. Ensure staff always verify eligibility and benefits through Availity Essentials prior to rendering behavioral health services to confirm any prior authorization requirements.
Plan Types
All Plans
States
TX
Specialties
psychiatry