Revenue/Procedure Code Service Group Matrix

Transcription

1 0 114 Room and Board- private psychiatric Room and Board- private rehabilitation Room and Board -semi private psychiatric Room and Board - semi private rehabilitation Room and Board bed psychiatric Room and Board bed rehabilitation Room and board private psychiatric Room and Board- ward psychiatric Room and Board- ward rehabilitation Intensive Care -psychiatric Intensive Care -psychiatric Room and Board- private room detoxification Room and Board- semi- private room detoxification Room and Board- 3-4 bed detoxification Room and board private- detoxification Room and Board- detoxification ward 1 H0009 Alcohol and/or drug services; acute detoxification (hospital inpatient) 1 H0011 Alcohol and/or drug services; acute detoxification (residential addiction

2 2 510 Clinic encounter all inclusive Psych clinic Freestanding clinic Rural Clinic Other freestanding clinic Psychiatric/Psychological Services- Individual therapy Psychiatric/Psychological Services- Family therapy ECT- electroshock treatment Electroconvulsive Therapy Intensive Outpatient Intensive Outpatient 4 915, H0015 BH intensive outpatient substance abuse 4 H0015 Alcohol and/or drug services; intensive outpatient treatment (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan) including assessment, counseling, crisis intervention, and activity therapies or education

3 5 911 Substance abuse rehabilitation Drug Rehabilitation Alcohol Rehabilitation Psychotherapy, 30 mins min psychotherapy add on code when performed with E/M Service- (list separately) Psychotherapy, 45 mins minute psychotherapy add on code when performed with E/M Service (list separately) Psychotherapy, 60 mins min psychotherapy when performed with E/M service (list separately_ Psychotherapy for crisis, first 60 min crisis code add on for each additional 30 min Psychoanalysis Family Psychotherapy, without patient present Family Psychotherapy, 45 min Multiple-family group psychotherapy Group psychotherapy

4 Therapeutic Repetitive Transcranial (TMS) Therapeutic Repetitive Transcranial (TMS) Therapeutic Repetitive Transcranial (TMS) Nursing Assessment and Care-Initial Nursing Assessment and Care-Re-Assessment H&B individual intervention H&B group intervention Health & Behavior Intervention w pt present Health & Behavior Intervention w o pt present Psychological testing Psychological testing Psychological testing Developmental screening with interp Developmental testing Neurobehavioral status exam w clin assess Neuropsychological Testing per hour

5 Neuropsych Testing Admin by Technician per hour Neuropsych Testing Admin by Computer per occurrence New Patient Office Visit Level New Patient Office Visit Level New Patient Office Visit Level New Patient Office Visit Level New Patient Office Visit Level Est Patient Office Visit Level Est Patient Office Visit Level Est Patient Office Visit Level Est Patient Office Visit Level Est Patient Office Visit Level Mental health Risk Assessment Problem focused; straightforward-15 min Expanded; straightforward-30 min Detailed; low complexity-40 min Comprehensive; moderate complexity-60 min

6 Comprehensive; high complexity-80 min Home visit, new patient Home visit, new patient Home visit, new patient Home visit, new patient Home visit, new patient Home visit, est patient Home visit, est patient Home visit, est patient Home visit, est patient Home visit, single, family counseling 16 H H H0017 Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) Behavioral health; residential (hospital residential treatment program), without room and board, per diem

7 GROUP REVENUE CODE Revenue/Procedure Code Service Group Matrix 17 H H0019 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 18 H H0025 Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) T Observational Behavioral Assessment Follow-Up, Out-of-Clinic T Observational Assessment Follow-up - additional 30 min, In-Clinic T Exposure Behavior Assessment-follow-up, In-Clinic T Exposure Behavior Assessment-follow-up Additional 30 mins, In-Clinic T Adaptive behavior treatment by protocol, In-Clinic T Adaptive behavior treatment by protocol Additional 30 mins, In-Clinic T Group adaptive behavior treatment by protocol, In-Clinic

8 T Group adaptive behavior treatment by protocol, Additional 30 mins, In-Clinic T 0369T 0374T Adaptive behavior treatment with protocol modification, Out-of-Clinic Adaptive behavior treatment with protocol modification, Additional 30 mins, Out-of-Clinic Exposure adaptive behavior treatment with protocol modification Additional 30 mins, In-Clinic T Family adaptive behavior treatment guidance, In-Clinic T Exposure adaptive behavior treatment with protocol modification, In Clinic T Multiple-family group adaptive behavior treatment guidance, In-Clinic T Behavior Identification Assessment, In-Clinic T Adaptive behavior treatment social skills group, In Clinic