0 114 Room and Board- private psychiatric 0 118 Room and Board- private rehabilitation 0 124 Room and Board -semi private psychiatric 0 128 Room and Board - semi private rehabilitation 0 134 Room and Board - 3-4 bed psychiatric 0 138 Room and Board - 3-4 bed rehabilitation 0 144 Room and board private psychiatric 0 154 Room and Board- ward psychiatric 0 158 Room and Board- ward rehabilitation 0 204 Intensive Care -psychiatric 0 240 Intensive Care -psychiatric 1 116 Room and Board- private room detoxification 1 126 Room and Board- semi- private room detoxification 1 136 Room and Board- 3-4 bed detoxification 1 146 Room and board private- detoxification 1 156 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
2 510 Clinic encounter all inclusive 2 513 Psych clinic 2 520 Freestanding clinic 2 521 Rural Clinic 2 529 Other freestanding clinic 2 914 Psychiatric/Psychological Services- Individual therapy 2 916 Psychiatric/Psychological Services- Family therapy 3 901 ECT- electroshock treatment 3 90870 Electroconvulsive Therapy 4 905 Intensive Outpatient 4 906 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
5 911 Substance abuse rehabilitation 5 944 Drug Rehabilitation 5 945 Alcohol Rehabilitation 6 90832 Psychotherapy, 30 mins 6 90833 30 min psychotherapy add on code when performed with E/M Service- (list separately) 6 90834 Psychotherapy, 45 mins 6 90836 45 minute psychotherapy add on code when performed with E/M Service (list separately) 6 90837 Psychotherapy, 60 mins 6 90838 60 min psychotherapy when performed with E/M service (list separately_ 6 90839 Psychotherapy for crisis, first 60 min. 6 90840 crisis code add on for each additional 30 min. 6 90845 Psychoanalysis 6 90846 Family Psychotherapy, without patient present 6 90847 Family Psychotherapy, 45 min 6 90849 Multiple-family group psychotherapy 6 90853 Group psychotherapy
7 90867 Therapeutic Repetitive Transcranial (TMS) 7 90868 Therapeutic Repetitive Transcranial (TMS) 7 90869 Therapeutic Repetitive Transcranial (TMS) 8 96150 Nursing Assessment and Care-Initial 8 96151 Nursing Assessment and Care-Re-Assessment 8 96152 H&B individual intervention 8 96153 H&B group intervention 8 96154 Health & Behavior Intervention w pt present 8 96155 Health & Behavior Intervention w o pt present 9 96101 Psychological testing 9 96102 Psychological testing 9 96103 Psychological testing 10 96110 Developmental screening with interp 10 96111 Developmental testing 11 96116 Neurobehavioral status exam w clin assess 11 96118 Neuropsychological Testing per hour
11 96119 Neuropsych Testing Admin by Technician per hour 11 96120 Neuropsych Testing Admin by Computer per occurrence 12 99201 New Patient Office Visit Level 1 12 99202 New Patient Office Visit Level 2 12 99203 New Patient Office Visit Level 3 12 99204 New Patient Office Visit Level 4 12 99205 New Patient Office Visit Level 5 13 99211 Est Patient Office Visit Level 1 13 99212 Est Patient Office Visit Level 2 13 99213 Est Patient Office Visit Level 3 13 99214 Est Patient Office Visit Level 4 13 99215 Est Patient Office Visit Level 5 14 99240 Mental health Risk Assessment 14 99241 Problem focused; straightforward-15 min 14 99242 Expanded; straightforward-30 min 14 99243 Detailed; low complexity-40 min 14 99244 Comprehensive; moderate complexity-60 min
14 99245 Comprehensive; high complexity-80 min 15 99341 Home visit, new patient 15 99342 Home visit, new patient 15 99343 Home visit, new patient 15 99344 Home visit, new patient 15 99345 Home visit, new patient 15 99347 Home visit, est patient 15 99348 Home visit, est patient 15 99349 Home visit, est patient 15 99350 Home visit, est patient 15 99510 Home visit, single, family counseling 16 H0012 16 H0013 17 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
GROUP REVENUE CODE Revenue/Procedure Code Service Group Matrix 17 H0018 17 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 H0024 18 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) 19 0360T Observational Behavioral Assessment Follow-Up, Out-of-Clinic 19 0361T Observational Assessment Follow-up - additional 30 min, In-Clinic 19 0362T Exposure Behavior Assessment-follow-up, In-Clinic 19 0363T Exposure Behavior Assessment-follow-up Additional 30 mins, In-Clinic 19 0364T Adaptive behavior treatment by protocol, In-Clinic 19 0365T Adaptive behavior treatment by protocol Additional 30 mins, In-Clinic 19 0366T Group adaptive behavior treatment by protocol, In-Clinic
19 0367T Group adaptive behavior treatment by protocol, Additional 30 mins, In-Clinic 19 19 19 0368T 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 20 0370T Family adaptive behavior treatment guidance, In-Clinic 20 0373T Exposure adaptive behavior treatment with protocol modification, In Clinic 21 0371T Multiple-family group adaptive behavior treatment guidance, In-Clinic 21 0359T Behavior Identification Assessment, In-Clinic 21 0372T Adaptive behavior treatment social skills group, In Clinic