Billing Code Links for Psychologists
Using Computerized Cognitive Training

Insurance coverage varies according to insurance company and state, but all major carriers except Tricare do now cover Cognitive Rehabilitation. It is billed in 15 minute units with fees paid at $35 to $55 per unit, depending on the region of the country. A treatment plan is required and progress must be documented. In addition, the patient needs to be qualified to show that he or she can possibly benefit from this form of treatment. Currently, neurological disorders, strokes, cancer treatment (medicines used to treat cancer are toxic to the brain) and traumatic brain injuries are covered. Alzheimer's is usually not covered. It is recommend that a prescription for cognitive rehabilitation be obtained from the treating physician and that the clinician also call the insurance company involved if there are specific concerns regarding the client’s policy.

The following links are provided as a reference point for those clinicians looking for the correct billing codes for the services they offer. This does not represent a complete list, nor does inclusion here assure payment from an insurance company.

Perform your own research to determine what works best for your situation.

http://www.apa.org/practice/cpt_2002.html

http://www.cogrehab.com/clinical/crs.htm

http://www.futurehealth.org/CPTcodes.htm

http://www.unitedbehavioralhealth.com

http://www.anthem.com

http://www.cigna.com

http://www.aetna.com


 

CODE

Description, Definition, Typical Diagnoses


97532..................................................
 


Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct patient contact by the provider, each 15 minutes

ICD-9 Diagnosis
800.10-800.49  Fracture of vault of skull, closed with intracranial injury

800.60-800.99  Fracture of vault of skull, open with intracranial injury

801.10-801.49  Fracture of base of skull, closed with intracranial injury

801.60-801.99  Fracture of base of skull, closed with intracranial injury

851.00-854.19  Intracranial injury
 

97533..................................................

 

Sensory integrative techniques to
enhance sensory processing and promote adaptive responses to environment demands, direct patient contact by the provider, each 15 minutes