Outpatient Psychotherapy with
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- Reynold Dawson
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1 Diagnostic evaluation with medical services is an integrated biopsychosocial and medical assessment, including history, mental status, other physical examination elements as Psychiatric Diagnostic Evaluation indicated and recommendations. The evaluation may include communication with family or with medical services other sources, prescription of medications, and review and ordering of laboratory or other diagnostic studies Outpatient Psychotherapy with patient (with no psychopharmacological evaluation & management) Psychotherapy add on code Outpatient Psychotherapy with patient (with no psychopharmacological evaluation & management) Psychotherapy add on code Family Therapy without patient Family Therapy (conjoint psychotherapy) with patient Group Psychotherapy ECT/Single Office/Other Outpatient Visit - Self Office/Other Outpatient Visit - Low to Office/Other Outpatient Visit - Psychotherapy is the treatment of a mental illness and behavioral disturbances, in which the provider through definitive therapeutic communication attempts to alleviate the emotional disturbances, reverse or change maladaptive patterns of behavior, and encourage personality growth and development. Psychotherapy minutes with patient when performed with an evaluation and management services. Psychotherapy is the treatment of a mental illness and behavioral disturbances, in which the provider through definitive therapeutic communication attempts to alleviate the emotional disturbances, reverse or change maladaptive patterns of behavior, and encourage personality growth and development. Psychotherapy minutes with patient when performed with an evaluation and management services. Family psychotherapy without the patient present Family psychotherapy (conjoint psychotherapy with patient present) Group psychotherapy with a maximum of 8 patients (other than a multiple-family group) rate is per patient Electroconvulsive therapy (includes necessary monitoring); single seizure requires 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. requires 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. requires 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. 10 Revised: 07/28/17 FFS PSYCHIATRIST (MD/DO) Page 1 of 5
2 Office or other outpatient visit for the evaluation and management of a new patient, Office/Other Outpatient Visit which requires 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. 995 Office/Other Outpatient Visit presenting problems minimal Office or other outpatient visit - Self Office or other outpatient visit - Low to management Low management management High Subsequent hospital care Patient is stable, recovering or improving Office or other outpatient visit for the evaluation and management of a new patient, which requires 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Psychopharmacological evaluation & management of an established patient The presenting problems are minimal requires at least 2 of three (3) components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward medical decision making. requires at least 2 of three (3) components: An expanded problem interval history; An expanded problem focused examination; Medical decision making of low complexity requires at least 2 of three (3) components: A detailed problem interval history; A detailed problem focused examination; Medical decision making of moderate complexity requires at least 2 of three (3) components: A comprehensive problem interval history; A comprehensive problem focused examination; Medical decision making of high complexity history; A comprehensive examination; and Medical decision making that is straightforward and of low complexity history; A comprehensive examination; and Medical decision making of moderate complexity history; A comprehensive examination; and Medical decision making of high complexity Subsequent hospital care for the evaluation and management of a patient, which requires at least 2 of three (3) components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low complexity Revised: 07/28/17 FFS PSYCHIATRIST (MD/DO) Page 2 of 5
3 99232 Subsequent hospital care Patient is responding adequately to therapy or has developed minor complications Subsequent hospital care for the evaluation and management of a patient, which requires at least 2 of three (3) components: An expanded problem focused interval l history; An expanded problem focused examination; Medical decision making of moderate complexity Subsequent hospital care Patient is unstable or has developed a significant complication or new problem Hospital Discharge Day Management Service (less than min.) Hospital Discharge Day Management Service (more than min.) 991 Initial Inpatient Consultation - Self Initial Inpatient Consult Low Initial Inpatient Consult Moderate Inpatient Consultation - Moderate to High Inpatient Consult - Moderate to High Emergency Department Visit Self Subsequent hospital care for the evaluation and management of a patient, which requires at least 2 of three (3) components: A detailed problem focused interval history; A detailed problem focused examination; Medical decision making of high complexity Discharge day management include as appropriate, final examination of patient, discussion of the hospital stay, instructions for continuing care to all relevant care givers, preparation of discharge records, prescriptions and referral forms. Discharge day management include as appropriate, final examination of patient, discussion of the hospital stay, instructions for continuing care to all relevant care givers, preparation of discharge records, prescriptions and referral forms. components: A problem focused history; A problem focused examination; and Straightforward medical decision-making. components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision-making. components: A detailed history; A detailed examination; and Medical decision making of low complexity. Initial inpatient consultation for a new or established patient, which requires these three (3) making of moderate complexity. Initial inpatient consultation for a new or established patient, which requires these three (3) making of high complexity. these three (3) components: A problem focused history; A problem focused exam; and Straightforward medical decision making. 35 < > Revised: 07/28/17 FFS PSYCHIATRIST (MD/DO) Page 3 of 5
4 Emergency Department Visit - Low these three (3) components: An expanded problem focused history; An expanded problem to focused exam; and Medical decision making low complexity Emergency Department Visit - Emergency Department Visit High Emergency Department Visit - High (immediate significant threat to life or physiologic function) Home Visit/New Patient Low Home Visit/New Patient - Moderate Home Visit/New Patient - Moderate to High Home Visit/New Patient - High Home Visit/New Patient The patient is unstable or has developed significant new problems requiring immediate physician attention. Self Emergency Department visit for the evaluation and management of a patient, which requires these three (3) components: An expanded problem focused history; An expanded problem focused examination, and Medical decision making of moderate complexity. these three (3) components: A detailed history; A detailed examination; and Medical decision making moderate complexity. these three (3) components within the constraints imposed by the urgency of the patients clinical condition and/or mental status: A comprehensive history; A comprehensive examination; and Medical decision making high complexity. (3) components: A problem focused history; A problem focused exam; and Straightforward medical decision making. Home visits for the evaluation and management of a new patient, which requires these three (3) components: An expanded problem focused history; An expanded problem focused examination, and medical decision making of low complexity. (3) components: A detailed problem focused history; A detailed problem focused examination, and Medical decision making of moderate complexity. (3) components: A comprehensive history; A comprehensive examination; and Medical decision making moderate complexity. Home visit for the evaluation and management a new patient, which requires these three (3) making high complexity. least 2 of three (3) components: A problem focused interval history; A problem focused examination; and Straightforward medical decision making. 75 Revised: 07/28/17 FFS PSYCHIATRIST (MD/DO) Page 4 of 5
5 Low to - The patient is unstable or has developed significant new problems requiring immediate physician attention. least 2 of three (3) components: An expanded problem focused interval history; An expanded problem focused examination, and medical decision making of low complexity. least 2 of three (3) components: A detailed problem focused interval history; A detailed problem focused examination, and medical decision making of moderate complexity. least 2 of three (3) components: A comprehensive interval history; A comprehensive examination; and Medical decision making high complexity CFT Meeting (Face to Face) Child, Family and interdisciplinary team meeting of health care professionals (1 unit = minutes) must be a CWS client; with client and/or family Team Conference (Without Face to Face) Transitional Case Management (TCM) - Moderate Complexity Transitional Case Management - (TCM) - High Complexity A team conference with interdisciplinary team of health care professionals TCM Services with the following required elements: Direct communication with patient and/or caregiver within two business days of discharge from inpatient; face to face visit within 14 calendar days of discharge; Medical decision-making of moderate complexity during the service period. TCM Services with the following required elements: Direct communication with patient and/or caregiver within two business days of discharge from inpatient; face to face visit within seven calendar days of discharge from inpatient; Medical decision-making of high complexity during the service period. X62 Injections All injections regardless of amount or type of medication administered. Z58 Z5821 Case Management Case Management Case management services are activities provided to help patients access medical, educational, social, prevocational, and rehabilitative or other needed community services. Case management services are activities provided to help patients access medical, educational, social, prevocational, and rehabilitative or other needed community services. Revised: 07/28/17 FFS PSYCHIATRIST (MD/DO) Page 5 of 5
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