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Journal of Pediatric Psychology 2004 29(7):571-578; doi:10.1093/jpepsy/jsh059
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Journal of Pediatric Psychology vol. 29 no. 7 © Society of Pediatric Psychology 2004; all rights reserved.

Commentary. Health and Behavior CPT Codes: An Opportunity to Revolutionize Reimbursement in Pediatric Psychology

Robert B. Noll, PhD and Stephanie Fischer, BA

Cincinnati Children’s Hospital Medical Center

All correspondence should be sent to Robert B. Noll, Director, Child Development Unit Children’s Hospital of Pittsburgh, 3705 Fifth Ave., Pittsburgh, PA 15217, E-mail: robert.noll{at}chp.edu

Recently accepted codes in the Current Procedural Terminology system permit licensed pediatric psychologists to deliver psychological services utilizing billing codes that focus on improving medical and physical health. They potentially allow pediatric psychologists to obtain third-party reimbursement for services within a biopsychosocial model of care without requiring a concurrent psychiatric diagnosis. These codes represent a potential major paradigm shift whereby the services of a pediatric psychologist are provided and billed within the context of physical health care. Information is provided on the history of these codes along with detailed information regarding their utilization. Future directions for implementation, teaching, and research are provided along with a strong encouragement for use of these codes by pediatric psychologists.

Key words: billing; CPT codes; health psychology charges.


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