CMS will recognize and pay for two existing CPT® codes, which in 2023 had a status indicator of bundled (96202 and 96203), and three new CPT® codes that will allow physicians and other qualified health care professionals to provide training for caregivers of patients (97550-97552).

One set of codes (96202, 96203) is for group training in behavior management/modification of patients with a mental or physical health diagnosis. The group training would include caregivers of different patients. More than one caregiver/patient can be in the training.

These codes will allow physicians and other qualified health care professionals (NP, PA, CNS, CNM, CP, PT, OT, SLP) to provide training for caregivers of patients.

97550 and 97551 are for caregivers of an individual patient to facilitate the patient’s functional performance in their home and community relating to Activities of Daily Living. (ADL) The third new code, 97552 is for group training of multiple sets of caregivers (who are caring for different patients). That group training code is not assigned a time. More than one caregiver trained at the same session must be billed under the group code, as the treating practitioner’s time should not be counted multiple times.

97550 - Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (e.g., activities of daily living [ADLs], instrumental ADLs [IADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face-to-face; initial 30 minutes.

97551 - each additional 15 minutes.

97552 - Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [IADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face-to-face with multiple sets of caregivers.