|
Code
|
Short Descriptor
|
Status
|
Telephone only?
|
Medicare Payment Limitations
|
|
90785
|
Psytx complex interactive
|
Permanent
|
Yes
|
|
|
90791
|
Psych diagnostic evaluation
|
Permanent
|
Yes
|
|
|
90792
|
Psych diag eval w/med srvcs
|
Permanent
|
Yes
|
|
|
90832
|
Psytx w pt 30 minutes
|
Permanent
|
Yes
|
|
|
90833
|
Psytx w pt w e/m 30 min
|
Permanent
|
Yes
|
|
|
90834
|
Psytx w pt 45 minutes
|
Permanent
|
Yes
|
|
|
90836
|
Psytx w pt w e/m 45 min
|
Permanent
|
Yes
|
|
|
90837
|
Psytx w pt 60 minutes
|
Permanent
|
Yes
|
|
|
90838
|
Psytx w pt w e/m 60 min
|
Permanent
|
Yes
|
|
|
90839
|
Psytx crisis initial 60 min
|
Permanent
|
Yes
|
|
|
90840
|
Psytx crisis ea addl 30 min
|
Permanent
|
Yes
|
|
|
90845
|
Psychoanalysis
|
Permanent
|
Yes
|
|
|
90846
|
Family psytx w/o pt 50 min
|
Permanent
|
Yes
|
|
|
90847
|
Family psytx w/pt 50 min
|
Permanent
|
Yes
|
|
|
90853
|
Group psychotherapy
|
Added March 30
|
Yes
|
|
|
90875
|
Psychophysiological therapy
|
Added April 30
|
|
Non-covered service
|
|
90956
|
Esrd srv 1 visit p mo 2-11
|
Added April 30
|
|
|
|
92002
|
Eye exam new patient
|
Added April 30
|
|
|
|
92004
|
Eye exam new patient
|
Added April 30
|
|
|
|
92012
|
Eye exam establish patient
|
Added April 30
|
|
|
|
92014
|
Eye exam&tx estab pt 1/>vst
|
Added April 30
|
|
|
|
92507
|
Speech/hearing therapy
|
Added March 30
|
Yes
|
|
|
92508
|
Speech/hearing therapy
|
Added April 30
|
Yes
|
|
|
92521
|
Evaluation of speech fluency
|
Added March 30
|
Yes
|
|
|
92522
|
Evaluate speech production
|
Added March 30
|
Yes
|
|
|
92523
|
Speech sound lang comprehen
|
Added March 30
|
Yes
|
|
|
92524
|
Behavral qualit analys voice
|
Added March 30
|
Yes
|
|
|
92601
|
Cochlear implt f/up exam <7
|
Added April 30
|
|
|
|
92602
|
Reprogram cochlear implt <7
|
Added April 30
|
|
|
|
92603
|
Cochlear implt f/up exam 7/>
|
Added April 30
|
|
|
|
92604
|
Reprogram cochlear implt 7/>
|
Added April 30
|
|
|
|
94002
|
Vent mgmt inpat init day
|
Added April 30
|
|
|
|
94003
|
Vent mgmt inpat subq day
|
Added April 30
|
|
|
|
94004
|
Vent mgmt nf per day
|
Added April 30
|
|
|
|
94005
|
Home vent mgmt supervision
|
Added April 30
|
|
Bundled code.
|
|
94664
|
Evaluate pt use of inhaler
|
Added April 30
|
|
|
|
96110
|
Developmental screen w/score
|
Added April 30
|
|
|
|
96112
|
Devel tst phys/qhp 1st hr
|
Added April 30
|
|
Non-covered service
|
|
96113
|
Devel tst phys/qhp ea addl
|
Added April 30
|
|
|
|
96116
|
Nubhvl xm phys/qhp 1st hr
|
Permanent
|
Yes
|
|
|
96121
|
Nubhvl xm phy/qhp ea addl hr
|
Added April 30
|
Yes
|
|
|
96127
|
Brief emotional/behav assmt
|
Added April 30
|
Yes
|
|
|
96130
|
Psycl tst eval phys/qhp 1st
|
Added March 30
|
Yes
|
|
|
96131
|
Psycl tst eval phys/qhp ea
|
Added March 30
|
Yes
|
|
|
96132
|
Nrpsyc tst eval phys/qhp 1st
|
Added March 30
|
Yes
|
|
|
96133
|
Nrpsyc tst eval phys/qhp ea
|
Added March 30
|
Yes
|
|
|
96136
|
Psycl/nrpsyc tst phy/qhp 1st
|
Added March 30
|
Yes
|
|
|
96137
|
Psycl/nrpsyc tst phy/qhp ea
|
Added March 30
|
Yes
|
|
|
96138
|
Psycl/nrpsyc tech 1st
|
Added March 30
|
Yes
|
|
|
96139
|
Psycl/nrpsyc tst tech ea
|
Added March 30
|
Yes
|
|
|
96156
|
Hlth bhv assmt/reassessment
|
Permanent
|
Yes
|
|
|
96158
|
Hlth bhv ivntj indiv 1st 30
|
Added April 30
|
Yes
|
|
|
96159
|
Hlth bhv ivntj indiv ea addl
|
Permanent
|
Yes
|
|
|
96160
|
Pt-focused hlth risk assmt
|
Permanent
|
Yes
|
|
|
96161
|
Caregiver health risk assmt
|
Permanent
|
Yes
|
|
|
96164
|
Hlth bhv ivntj grp 1st 30
|
Permanent
|
Yes
|
|
|
96165
|
Hlth bhv ivntj grp ea addl
|
Permanent
|
Yes
|
|
|
96167
|
Hlth bhv ivntj fam 1st 30
|
Permanent
|
Yes
|
|
|
96168
|
Hlth bhv ivntj fam ea addl
|
Permanent
|
Yes
|
|
|
96168
|
Hlth bhv ivntj fam ea addl
|
Permanent
|
Yes
|
|
|
96170
|
Hlth bhv ivntj fam wo pt 1st
|
Added April 30
|
|
Non-covered service
|
|
96171
|
Hlth bhv ivntj fam w/o pt ea
|
Added April 30
|
|
Non-covered service
|
|
97150
|
Group therapeutic procedures
|
Added April 30
|
|
|
|
97151
|
Bhv id assmt by phys/qhp
|
Added April 30
|
|
|
|
97152
|
Bhv id suprt assmt by 1 tech
|
Added April 30
|
|
|
|
97153
|
Adaptive behavior tx by tech
|
Added April 30
|
|
|
|
97154
|
Grp adapt bhv tx by tech
|
Added April 30
|
|
|
|
97155
|
Adapt behavior tx phys/qhp
|
Added April 30
|
|
|
|
97156
|
Fam adapt bhv tx gdn phy/qhp
|
Added April 30
|
|
|
|
97157
|
Mult fam adapt bhv tx gdn
|
Added April 30
|
|
|
|
97158
|
Grp adapt bhv tx by phy/qhp
|
Added April 30
|
|
|
|
97530
|
Therapeutic activities
|
Added April 30
|
|
|
|
97535
|
Self care mngment training
|
Added March 30
|
Yes
|
|
|
97542
|
Wheelchair mngment training
|
Added April 30
|
|
|
|
97802
|
Medical nutrition indiv in
|
Permanent
|
Yes
|
|
|
97803
|
Med nutrition indiv subseq
|
Permanent
|
Yes
|
|
|
97804
|
Medical nutrition group
|
Permanent
|
Yes
|
|
|
99324
|
Domicil/r-home visit new pat
|
Added April 30
|
|
|
|
99325
|
Domicil/r-home visit new pat
|
Added April 30
|
|
|
|
99326
|
Domicil/r-home visit new pat
|
Added April 30
|
|
|
|
99354
|
Prolong e&m/psyctx serv o/p
|
Permanent
|
Yes
|
|
|
99355
|
Prolong e&m/psyctx serv o/p
|
Permanent
|
Yes
|
|
|
99356
|
Prolonged service inpatient
|
Permanent
|
Yes
|
|
|
99357
|
Prolonged service inpatient
|
Permanent
|
Yes
|
|
|
99406
|
Behav chng smoking 3-10 min
|
Permanent
|
Yes
|
|
|
99407
|
Behav chng smoking > 10 min
|
Permanent
|
Yes
|
|
|
99441
|
Phone e/m phys/qhp 5-10 min
|
Added April 30
|
Yes
|
|
|
99442
|
Phone e/m phys/qhp 11-20 min
|
Added April 30
|
Yes
|
|
|
99443
|
Phone e/m phys/qhp 21-30 min
|
Added April 30
|
Yes
|
|
|
99497
|
Advncd care plan 30 min
|
Permanent
|
Yes
|
|
|
99498
|
Advncd care plan addl 30 min
|
Permanent
|
Yes
|
|
|
0373T
|
Adapt bhv tx ea 15 min
|
Added April 30
|
|
|
|
S9152
|
Speech therapy, re-eval
|
Added April 30
|
|
Not valid for Medicare purposes
|
|
0362T
|
Bhv id suprt assmt ea 15 min
|
Added April 30
|
|
|
|
90785
|
Psytx complex interactive
|
Permanent
|
Yes
|
|
|
G0108
|
Diab manage trn per indiv
|
Permanent
|
Yes
|
|
|
G0109
|
Diab manage trn ind/group
|
Permanent
|
Yes
|
|
|
G0270
|
Mnt subs tx for change dx
|
Permanent
|
Yes
|
|
|
G0296
|
Visit to determ ldct elig
|
Permanent
|
Yes
|
|
|
G0396
|
Alcohol/subs interv 15-30mn
|
Permanent
|
Yes
|
|
|
G0397
|
Alcohol/subs interv >30 min
|
Permanent
|
Yes
|
|
|
G0406
|
Inpt/tele follow up 15
|
Permanent
|
Yes
|
|
|
G0407
|
Inpt/tele follow up 25
|
Permanent
|
Yes
|
|
|
G0408
|
Inpt/tele follow up 35
|
Permanent
|
Yes
|
|
|
G0410
|
Grp psych partial hosp 45-50
|
Added April 30
|
|
Statutory exclusion
|
|
G0420
|
Ed svc ckd ind per session
|
Permanent
|
Yes
|
|
|
G0421
|
Ed svc ckd grp per session
|
Permanent
|
Yes
|
|
|
G0425
|
Inpt/ed teleconsult30
|
Permanent
|
Yes
|
|
|
G0426
|
Inpt/ed teleconsult50
|
Permanent
|
Yes
|
|
|
G0427
|
Inpt/ed teleconsult70
|
Permanent
|
Yes
|
|
|
G0436
|
Tobacco-use counsel 3-10 min
|
Permanent
|
Yes
|
Deleted 9/30/16 but still listed by CMS |
|
G0437
|
Tobacco-use counsel>10min
|
Permanent
|
Yes
|
Deleted 9/30/16 but still listed by CMS |
|
G0438
|
Ppps, initial visit
|
Permanent
|
Yes
|
|
|
G0439
|
Ppps, subseq visit
|
Permanent
|
Yes
|
|
|
G0442
|
Annual alcohol screen 15 min
|
Permanent
|
Yes
|
|
|
G0443
|
Brief alcohol misuse counsel
|
Permanent
|
Yes
|
|
|
G0444
|
Depression screen annual
|
Permanent
|
Yes
|
|
|
G0445
|
High inten beh couns std 30m
|
Permanent
|
Yes
|
|
|
G0446
|
Intens behave ther cardio dx
|
Permanent
|
Yes
|
|
|
G0447
|
Behavior counsel obesity 15m
|
Permanent
|
Yes
|
|
|
G0459
|
Telehealth inpt pharm mgmt
|
Permanent
|
Yes
|
|
|
G0506
|
Comp asses care plan ccm svc
|
Permanent
|
Yes
|
|
|
G0513
|
Prolong prev svcs, first 30m
|
Permanent
|
Yes
|
|
|
G0514
|
Prolong prev svcs, addl 30m
|
Permanent
|
Yes
|
|
|
G2086
|
Off base opioid tx 70min
|
Permanent
|
Yes
|
|
|
G2087
|
Off base opioid tx, 60 m
|
Permanent
|
Yes
|
|
|
G2088
|
Off base opioid tx, add30
|
Permanent
|
Yes
|
|
|
G9685
|
Acute nursing facility care
|
Added April 30
|
|
|