Pmhealthnp.com
Outpatient Psychiatry Diagnostic/Eval/Intake Codes90791Psychiatric diagnostic Evaluation w/ medical services. Does not include psychotherapeutic services. Do not report in conjunction w/ other codes except 99785 when diagnostic eval includes interactive complexity services90792Psychiatric diagnostic Evaluation w/ medical services (1 client). Does not include psychotherapeutic services. Do not report in conjunction w/ other codes except 99785 when diagnostic eval includes interactive complexity services. 99201E/M New patient office visit, 10 minutes99202E/M New patient office visit, 20 minutes99203E/M New pt, 30 minutes99204E/M, New pt, 45 minutes, +vitals99205E/M, New pt, 60 minutes, +vitals99211E/M, Established pt, 5 min99212E/M, Established pt,10 min99213E/M, Established pt, 15 min99214E/M, Established pt, 25 min99215E/M, Established pt, 40 min99443Telephone therapy, limit 3 units/hours per applicationE/M + Therapy9083316-37 minutes. Psychotherapy, 30 minutes with patients when performed with E/M service. Used with 90832. Use 90833 in conjunction with 99201-99255, 99304-99337, 99341-99350)90836Psychotherapy, 45 minutes with patients when performed with E/M service. Use 90833 in conjunction. Use 90833 in conjunction with 99201-99255, 99304-99337, 99341-99350)90838Psychotherapy, 60 minutes with patients when performed with E/M service. Use 90833 in conjunction. Use 90833 in conjunction with 99201-99255, 99304-99337, 99341-99350) Therapy90832Psychotherapy 30 minutes90834Psychotherapy 40 minutes90837Psychotherapy 60 minutes (use appropriate prolonged service code 99354, 99355, 99356, 99357 for psychotherapy services not performed w/ E/M service of 90 minutes or longer face-to-face with pts.90846Family psychotherapy without the patient present, 50 minutes90847Family psychotherapy with the patient present, 50 minutes. Do not report with 90846, 90847 for family psychotherapy services less than 26 mins90849Multiple-family group therapy90853General group psychotherapyInteractive complexity90785Add on code when communication factors that complicate delivery of care is present such as emotional family members, young/undeveloped patients, interpreters, language translator, court officers, involvement of third parties (child welfare agencies, probation officers, schools), when there is a need to manage high anxiety, high reactivity, repeated questions, or disagreements among participants, or caregiver emotions/bx that interferes with understanding and ability to assist in implementation of tx, evidence of disclosure of sentinel event, mandated report to third party (abuse/neglect), use of play equipment. Can be used with 90791-92, 90832, 90834,90837, 90833, 90836, 90838, 99201-99255, 99304-99337, 99341-350, 90853. Do not report with 90839-40, 97151, 97152-97158, 0362T, 0373TPsychotherapy with Crisis(presenting problem is life threatening)90839Psychotherapy for crisis, first 60 minutes90840Psychotherapy for crisis, each additional 30 minutes, listSeparately in addition to code for primary service. Use inConjunction w/ 90839. Do not report 90839 and 90840 in conjunction with 90791, 90792 psychotherapy codes 90832-38 or other psychiatric services, or 90785-90899.Other helpful CPTs90863Pharmacological management, including prescription and review of medication, when performed w/ psychotherapy services (list separately in addition to the code for primary service). Use the appropriate evaluation and management codes 99201-99255, 99281-99285, 99304-99337, 99341-99350 and the appropriate psychotherapy w/ E/M service 90833,90836, 9083890885Psychiatric evaluation of hospital records, other psychiatric reports, psychometrics and/or projective tests, and other accumulated data for medical diagnostic purposes. 90887Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patients. Do not report in conjunction with 97151-97158, 0362T, 0373T. 90889Preparation of report of patient’s psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers. 90899Unlisted psychiatric service or procedure, requires prior authorization. A brief, jargon-free note explaining the use of the code to the insurance carrier might be helpful in obtaining reimbursement.90882Environmental Intervention for medical management purposes on psychiatric patient’s behalf w/ agencies, employers or institutions. 90867-90869TMS99870ECT ................
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