CMS NPFS Status Code B (Bundled) Behavioral Health CPT/HCPCS Reimbursement
Defines Optum Behavioral Health's reimbursement stance for CPT and HCPCS codes assigned status code 'B' on the CMS National Physician Fee Schedule Relative Value File, and applies to providers submitting CMS 1500 and electronic claims for applicable Optum-administered behavioral health plans (nationwide except Mississippi).
No material clinical or coverage changes in this revision.
Coverage Determination for Status Code B (Bundled)
Status code B coverage criteria
Covered stance for services assigned status code 'B' on the CMS NPFS Relative Value File.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.