2013 年精神科现行操作术语代码修订对精神科计费中心理治疗的影响。
Effects of the 2013 Psychiatric Current Procedural Terminology Codes Revision on Psychotherapy in Psychiatric Billing.
机构信息
Dr. Mark is with RTI International, Rockville, Maryland. Dr. Olesiuk is with Truven Health Analytics, an IBM Company, Durham, North Carolina. The remaining authors are with the Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Rockville, Maryland.
出版信息
Psychiatr Serv. 2017 Nov 1;68(11):1197-1200. doi: 10.1176/appi.ps.201700031. Epub 2017 Aug 15.
OBJECTIVE
The purpose of this study was to determine whether the changes to the psychiatric Current Procedural Terminology (CPT) codes implemented in 2013 were associated with changes in types of services for which psychiatrists billed.
METHODS
Analyses were conducted using paid private insurance claims from a large commercial database. The participant cohort comprised psychiatrists with at least one psychiatry visit reported in the database in each calendar year studied: 2012 (N of visits=778,445), 2013 (N=748,317), and 2014 (N=754,760).
RESULTS
The percentage of visits in which psychiatrists billed for psychotherapy declined from 51.4% in 2012 to 42.1% in 2014. The decline held after the analyses adjusted for patient characteristics, plan type, and region.
CONCLUSIONS
The update to CPT codes resulted in a decrease in visits for which psychiatrists billed for psychotherapy. Further research should explore whether the change in billing corresponds to changes in service delivery.
目的
本研究旨在确定 2013 年实施的精神科现行程序术语 (CPT) 代码变更是否与精神科医生计费服务类型的变化有关。
方法
使用大型商业数据库中的私人保险支付记录进行分析。参与者队列包括在每个研究年份（2012 年（就诊次数 N=778445）、2013 年（N=748317）和 2014 年（N=754760））数据库中至少有一次精神科就诊的精神科医生。
结果
精神科医生开具心理治疗费用的就诊比例从 2012 年的 51.4%下降到 2014 年的 42.1%。在调整了患者特征、计划类型和地区后，这一下降仍然存在。
结论
CPT 代码的更新导致了精神科医生开具心理治疗费用的就诊次数减少。进一步的研究应该探索计费的变化是否对应于服务提供的变化。
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