Outpatient mental health scope of service

These are the contracted billable codes for outpatient mental health providers.

+ = Services must be billed under participating Master's-level clinician

Code	Description	Physician	Fully licensed psychologist	LMSW, MA LLP, LPC
	Evaluation and Management (E&M) codes	X
90785	Psychotherapy, complex interactive	X	X	X
90791	Psychiatric diagnostic evaluation	X	X	X
90792	Psychiatric diagnostic evaluation w/medical services	X
90832	Psychotherapy, patient and/or family, 30 min.	X	X	X
90833	Psychotherapy, patient and/or family w/E&M, 30 min.	X
90834	Psychotherapy, patient and/or family, 45 min.	X	X	X
90836	Psychotherapy, patient and/or family w/ E&M, 45 min.	X
90837	Psychotherapy, patient and/or family, 60 min.	X	X	X
90838	Psychotherapy, patient and/or family w/E&M, 60 min.	X
Code	Description	Physician	Fully licensed psychologist	LMSW, MA LLP, LPC
90839	Psychotherapy for crisis; first 60 min.	X	X	X
90840	Psychotherapy for crisis; each additional 30 min. (list separately in addition to code for primary service)	X	X	X
90845	Psychoanalysis	X
90846	Family psychotherapy w/o patient	X	X	X
90847	Family psychotherapy w/patient	X	X	X
90849	Multiple family group psychotherapy	X	X	X
90853	Group psychotherapy	X	X	X
90863	Pharmacologic management w/psychotherapy	X
90867	Transcranial magnetic stimulation, initial -TMS	X
90868	Transcranial magnetic stimulation, subsequent treatment, delivery & management	X
Code	Description	Physician	Fully licensed psychologist	LMSW, MA LLP, LPC
90869	Transcranial magnetic stimulation, redetemination motor threshold, delivery & management	X
90870	Electroconvulsive therapy	X
96102	Psychological testing, technician		X
96103	Psychological testing, computer		X
96116	Neurobehavioral status exam, first hour		X
96119	Neuropsychological testing, technician		X
96120	Neuropsycholgical testing, computer		X
96121	Neurobehavioral status exam, additional hour		X
96130	Psychological testing, first hour		X
96131	Psychological testing, additional hours		X
Code	Description	Physician	Fully licensed psychologist	LMSW, MA LLP, LPC
96132	Neuropsychological testing, first hour		X
96133	Neuropsychological testing, additional hours		X
96136	Psychological testing or neuropsychological testing administered and scored by physician, first 30 minutes		X
96137	Psychological testing or neuropsychological testing administered and scored by physician, additional 30 minutes		X
96138	Psychological testing or neuropsychological testing administered and scored by a technician, first 30 minutes		X
96139	Psychological testing or neuropsychological testing administered and scored by a technician, additional 30 minutes		X
96146	Psychological or neuropsychological test administered with single automated standardized instrument via electronic platform, automated results only		X
96150	Health & behavioral initial evaluation		X	X
96151	Health & behavioral re-assessment		X	X
96152	Health & behavioral intervention, individual		X	X
Code	Description	Physician	Fully licensed psychologist	LMSW, MA LLP, LPC
96153	Health & behavioral intervention, group		X	X
96154	Health & behavioral intervention, family and patient		X	X
96155	Health & behavioral intervention, family		X	X
Special credentialing is required to provide the services below:
H0031+	Mental health assessment, non-physician, autism		X	X
H0032+	Mental health service plan, non-physician, autism		X	X
H2014+	Skills training, 15 min., for autism		X	X
H2019+	Therapy, behavioral health services, 15 min., for autism		X	X
S5108+	Supervision, 15 min., for autism		X	X
S5111+	Parent training, 15 min., for autism		X	X