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
96101 Psychological testing, psychologist X
96102 Psychological testing, technician X
96103 Psychological testing, computer X
96150 Health & behavioral initial evaluation X X
96151 Health & behavioral re-assessment X X
96152 Health & behavioral intervention, individual X X
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:
Code Description Physician Fully licensed psychologist LMSW, MA LLP, LPC
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 
96116 Neurobehavioral status exam X
96118 Neuropsychological testing X
96119 Neuropsychological testing, technician X
96120 Neuropsycholgical testing, computer X

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