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 |
- ADHD services
- Autism services
- Coordination of care
- Depression diagnosis and management
- Discharge process
- Electroconvulsive therapy
- Medicaid behavioral health
- Mental health services
- Neuropsych/psychological exams, testing
- Psychological E&M of non-mental-health disorders
- Substance use disorder services
- Telemedicine
- Transcranial magnetic stimulation