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On the other hand, just how commercial plans cover digital health codes varies greatly, often leaving physicians confused about treatment options and patients uncertain about what they’ll have ...
In April 2022, CMS implemented a Level II HCPCS code, A9291, for “prescription digital behavioral therapy,” which covers some of the early PDTs that make use of cognitive behavioral therapy ...
The codes reimburse providers for using digital mental health treatment applications or devices that have been cleared or granted De Novo authorization by the Food and Drug Administration.
In what could prove to be a lifeline for a new crop of health tech startups, Medicare regulators proposed new codes that support payment for digital mental health treatments, like apps that ...
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