Get State Operations Manual - Appendix AA. Appendix AA - Psychiatric Hospitals Interpretative

Inpatient Consultation CPT Codes: 99251 – 20 Minutes. 99252 – 40 Minutes. 99253 – 55 Minutes.

Common Mental Health CPT Codes 90837 — Psychotherapy, 60 minutes. ... 90834 — Psychotherapy, 45 minutes. ... 90791 — Psychiatric diagnostic evaluation without medical services. ... 90847 — Family psychotherapy (with client present), 50 minutes. ... 90853 — Group psychotherapy (other than of a multiple-family group)

ing to CPT, the initial hospital care codes, 99221–99223, are for “the first hospital inpatient encounter with the patient by the admitting physician.” Initial inpatient encounters by other physicians should be reported with either subsequent hospital care codes (99231–99233) or initial inpatient consultation ...

Article - Billing and Coding: Psychiatric Inpatient Hospitalization (A57726)

- The first hour of psychological evaluation is billed using 96130 and each additional hour needed to complete the service is billed with the add-on code 96131.

If a psychiatric diagnostic evaluation with medical assessment is performed, the physician or non-physician practitioner (NPP) may use CPT code 90792 or an evaluation and management (E/M) code.

Common Behavioral Health Case Management CPT Codes 90832: 30 minutes of psychotherapy. 90834: 45 minutes of psychotherapy. 90837: 60 minutes of psychotherapy.

The CMS State Operations Manual (SOM) provides CMS policy regarding survey and certification activities. Surveyors assess the hospital's compliance with the CoP for all services, areas and locations in which the provider receives reimbursement for patient care services billed under its provider number.