How To Use CPT Code 99510

CPT 99510 describes the provision of home visit counseling services by a licensed psychologist or social worker. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 99510?

CPT 99510 can be used to describe the home visit counseling services provided by a licensed psychologist or social worker. This code is used when the healthcare professional visits the patient in their home to provide counseling services. The counseling may involve individual sessions with only the patient, family counseling with the patient and their family members, or counseling for a patient and their spouse regarding marital issues. The number and type of counseling sessions will depend on a previously developed care plan outlining the therapy needed.

2. Official Description

The official description of CPT code 99510 is: ‘Home visit for individual, family, or marriage counseling.’

3. Procedure

1. A licensed psychologist or social worker visits the patient in their home to provide counseling services.
2. The counseling sessions may include individual counseling with only the patient, family counseling involving the patient and family members, or counseling a patient and their spouse on issues involving their marriage.
3. The number and type of counseling sessions will depend on a previously developed care plan outlining the therapy needed.

4. Qualifying circumstances

Patients eligible to receive CPT 99510 services are those who require counseling services in their home. The counseling may be for individual therapy, family therapy, or marriage counseling. The services must be provided by a licensed psychologist or social worker. The specific circumstances and need for counseling will be determined by the previously developed care plan.

5. When to use CPT code 99510

CPT code 99510 should be used when a licensed psychologist or social worker provides counseling services to a patient in their home. This code is appropriate for individual counseling, family counseling, or marriage counseling sessions. The number and type of sessions will depend on the therapy needed as outlined in the care plan.

6. Documentation requirements

To support a claim for CPT 99510, the healthcare professional must document the following information:

• Patient’s diagnosis or reason for counseling
• Type of counseling provided (individual, family, or marriage)
• Date and duration of each counseling session
• Topics covered during the session
• Progress made by the patient and any additional sessions scheduled
• Signature of the licensed psychologist or social worker providing the service

7. Billing guidelines

When billing for CPT 99510, ensure that the counseling services are provided by a licensed psychologist or social worker during a home visit. There are no specific guidelines regarding reporting CPT 99510 with other codes. However, it is important to follow any applicable payer guidelines and ensure accurate and complete documentation to support the services provided.

8. Historical information

CPT 99510 was added to the Current Procedural Terminology system on January 1, 2002. There have been no updates to the code since its addition.

9. Examples

1. A licensed psychologist providing individual counseling sessions for a patient in their home to address anxiety and stress management.
2. A social worker conducting family counseling sessions in the home to improve communication and resolve conflicts between family members.
3. A licensed psychologist providing marriage counseling sessions for a couple in their home to address relationship issues and improve marital satisfaction.
4. A social worker conducting individual counseling sessions for a patient in their home to address depression and develop coping strategies.
5. A licensed psychologist providing family counseling sessions in the home to support a family dealing with grief and loss.
6. A social worker conducting marriage counseling sessions for a couple in their home to address trust issues and improve communication.
7. A licensed psychologist providing individual counseling sessions for a patient in their home to address trauma and develop resilience.
8. A social worker conducting family counseling sessions in the home to address behavioral issues and improve family dynamics.
9. A licensed psychologist providing marriage counseling sessions for a couple in their home to address conflict resolution and enhance intimacy.
10. A social worker conducting individual counseling sessions for a patient in their home to address addiction and develop a relapse prevention plan.