How To Use CPT Code 4526F

CPT 4526F describes the neuropsychiatric intervention received by a patient with dementia. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 4526F?

CPT 4526F can be used to report the neuropsychiatric intervention provided to patients with dementia. This code is used when a patient receives treatment measures such as medications, cognitive and behavioral therapy, exercise, emotional support, and education to help manage their cognitive and functional impairment associated with dementia.

2. Official Description

The official description of CPT code 4526F is: ‘Neuropsychiatric intervention received (DEM).’ This code indicates that the patient with dementia has received neuropsychiatric intervention to improve their condition.

3. Procedure

When a patient with dementia receives neuropsychiatric intervention, the provider implements various treatment measures to address their cognitive and functional impairment. These measures may include medications to manage symptoms, cognitive therapy to improve attention and problem-solving skills, behavioral therapy to modify destructive behaviors, exercise to promote overall well-being, emotional support to address psychological needs, and education to enhance understanding of the condition and its management.

4. Qualifying circumstances

CPT 4526F is applicable to patients of any age who have been diagnosed with dementia and require neuropsychiatric intervention. The provider reports this code at least once within a 12-month period to indicate that the patient has received the necessary interventions to address their neuropsychiatric symptoms. The documentation should clearly indicate the receipt of the intervention and the date of assessment in the patient’s healthcare record.

5. When to use CPT code 4526F

CPT code 4526F should be used when a patient with dementia receives neuropsychiatric intervention. It is important to accurately document the specific interventions provided and the date of assessment. This code should not be used for patients without a diagnosis of dementia or for interventions unrelated to neuropsychiatric symptoms.

6. Documentation requirements

To support a claim for CPT code 4526F, the provider must document the following information:

• Confirmation of the patient’s diagnosis of dementia
• Receipt of neuropsychiatric intervention
• Date of assessment

The documentation should clearly indicate the specific interventions provided, such as medications, cognitive and behavioral therapy, exercise, emotional support, and education.

7. Billing guidelines

When reporting CPT code 4526F, ensure that the patient has a confirmed diagnosis of dementia and has received the necessary neuropsychiatric intervention. This code should not be reported for patients without a dementia diagnosis or for interventions unrelated to neuropsychiatric symptoms. It is important to accurately document the interventions provided and the date of assessment. CPT code 4526F should not be reported with other codes unless they are performed within the same session and are directly related to the neuropsychiatric intervention.

8. Historical information

CPT code 4526F was added to the Current Procedural Terminology system on January 1, 2012. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with dementia receives cognitive therapy to improve their attention and problem-solving skills.
2. A provider prescribes medications to manage the neuropsychiatric symptoms of a patient with dementia.
3. A patient with dementia participates in behavioral therapy to modify destructive behaviors.
4. A provider recommends exercise as part of the neuropsychiatric intervention for a patient with dementia.
5. A patient with dementia receives emotional support to address their psychological needs.
6. A provider educates a patient with dementia and their family on the condition and its management.
7. A patient with dementia undergoes cognitive therapy to enhance their short-term memory.
8. A provider incorporates behavioral therapy to help a patient with dementia develop positive habits.
9. A patient with dementia engages in exercise to improve their overall well-being.
10. A provider provides emotional support to a patient with dementia to alleviate their anxiety and depression.