CPT Codes by Discipline. NPI Discipline / Type of Service

Transcription

1 90801 Psychiatric diagnostic interview examination Interactive psychiatric diagnostic interview examination using play equipment, physical devices, language interpreter, or other mechanisms of communication Individual psychotherapy, insight oriented, behavior modifying and/or supportive, with medical evaluation and management services 45 to 50 minutes Family psychotherapy (without child present) Family psychotherapy (with child present) Health and behavior assessment utes Health and behavior re-assessment utes G0154 Health and behavior intervention - 2 or more children Health and behavior intervention with family and child Health and behavior intervention with family without child Home visit for individual, family or marriage counseling Services of social worker in home health setting utes utes utes Health and behavior intervention (individual) utes Social Work & psychological services directly relating to and/or furthering the patient's G0409 rehabilitation goals H0002 Behavioral health screening to determine eligibility for admission to treatment program C:\Documents and Settings\dackerman.SUNNOXFORD\Local Settings\Temporary Internet Files\OLKCD\Copy of ICD9 s_4 15_ xls Page 1

2 H0004 Behavioral health counseling and therapy H0031 Mental health assessment by non-physician Mental health service plan development by H0032 non-physician H0046 Mental health svc not otherwise specified Family assessment by licensed health H1011 professional for state defined purposes H2014 Skills training and development H2019 Therapeutic behavioral services H2027 Psychoeducational services Developmental delay prevention activities, H2037 dependent child of client Co-visits Scheduled interdisciplinary conference professional G0175 N (minimum of three) with patient present Co-visits Co-visits Co-visits Developmental Evaluation professional professional T1024 T1025 professional T1026 N professional N N Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, psychosocial impairments Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, psychosocial impairments Developmental testing, limited, with interpretation & report Minimum of 3 disciplines Per diem 1 hour 1 hour C:\Documents and Settings\dackerman.SUNNOXFORD\Local Settings\Temporary Internet Files\OLKCD\Copy of ICD9 s_4 15_ xls Page 2

3 Developmental Evaluation professional Extended developmental testing (motor, language, social, affective, cognitive, by standardized instruments, with interpretation and report I hour Developmental Monitoring Family Training General visit Home visit Not Applicable T1023 professional T1027 N Screening to determine the appropriateness of considerartion of an individual for perticipation in a specified program, etc. Family training or counseling for child development professional T1015 N Clinic visit/ professional N Unlisted home visit service or procedure Nutritian Nutritian Group Nutritionist Nutritionist G0270 G0271 Medical nutrition therapy; re-assessment and subsequent intervention(s) following second referral in same year for change of diagnosis, medical condition or treatment regimen Medical nutrition group therapy; reassessment and subsequent intervention(s) following second referral in same year for change of diagnosis, medical condition or treatment regimen Nutrition Assessment Nutritionist Nutrition Therapy, initial assessment, consult utes Limit not designated Nutrition Assessment Nutritionist Nutrition re- assessment, consult utes Limit not designated Group Nutrition Therapy, initial assessment, Nutrition Assessment Nutritionist consult 30 minutes Limit not designated Therapist Unlisted Services & Procedures Unlisted Modality 30 min C:\Documents and Settings\dackerman.SUNNOXFORD\Local Settings\Temporary Internet Files\OLKCD\Copy of ICD9 s_4 15_ xls Page 3

4 Therapist Therapeutic Exercises utes Session limit 4 units Therapist Neuromuscular Reeducation utes Session limit 4 units Massage Therapy including effleurage, Therapist pertrissage, tapotement Session limit 4 units Traction Therapy, manual therapy techniques, Therapist manipulation. Prior authorization Therapist Group Therapeutic I unit per recipient Therapist Kinetic therapy Session limit 4 units Therapist Cognitive skills development Session limit 4 units Therapist Sensory Integration Session limit 4 units Therapist Activities of Daily Living utes Prior authorization Therapist Wheelchair Management/ propulsion utes Session limit 4 units Therapist Assistive Technology assessment utes With written report Therapist Orthotic Management and training utes Session limit 4 units Therapist H2014 Skills training and development Developmental delay prevention activities, Therapist H2037 dependent child of client Therapy Therapy Evaluation 1 per calendar yr C:\Documents and Settings\dackerman.SUNNOXFORD\Local Settings\Temporary Internet Files\OLKCD\Copy of ICD9 s_4 15_ xls Page 4

5 Therapy Therapy Re-evaluation 1 every 3 mos. Services of occupational therapist in home Therapy G0152 health setting PT/OT Assessment Physical Therapy Evaluation PT/OT Assessment Physical Therapy Re-evaluation Muscle and range of motion testing Hand, with or without comparison with normal side Total Evaluation of body, excluding hands Total Evaluation of body, including hands Range of motion measurements (not including hands) & report Range of motion measurements (including hands) & report Therapeutic Exercises utes Session limit 4 units Neuromuscular Reeducation utes Session limit 4 units Gait training Session limit 4 units Massage Therapy including effleurage, pertrissage, tapotement Session limit 4 units Joint mobilization/ manipulation Prior authorization Therapeutic Activities Session limit 4 units Cognitive skills development Session limit 4 units Sensory Integration Session limit 4 units C:\Documents and Settings\dackerman.SUNNOXFORD\Local Settings\Temporary Internet Files\OLKCD\Copy of ICD9 s_4 15_ xls Page 5

6 97535 Fitting, measuring, customizing, instructing for use of AT device utes Prior authorization Physical Performance test utes With written report Assistive Technology assessment utes With written report Orthotic Management and training utes Session limit 4 units Check out for Orthotic/ Prosthetic Use utes Session limit 4 units Unlisted Services and Procedures Not covered G0151 Services of physical therapy in home or health setting Not covered S8990 Physical or manipulative therapy performed for maintance rather than restoration Not covered Physical Therapy Physical Therapy S9131 Physical therapy in home per diem per diem Not covered V57.1 Other physical therapy Not covered V57.81 Orthotic Training Not covered Services of physical therapist in home health G0151 setting Developmental delay prevention activities, H2037 dependent child of client & Language Evaluation of speech, language, voice, communication and/or auditory processing I evaluation per calendar year C:\Documents and Settings\dackerman.SUNNOXFORD\Local Settings\Temporary Internet Files\OLKCD\Copy of ICD9 s_4 15_ xls Page 6

7 & Language & Language and Hearing G0153 and Hearing H2037 and Hearing Treatment of speech, language, voice, communication, &/or auditory processing disorder: individual Treatment of swallowing dysfunction and/or function for feeding Services of speech and language pathologist in home health setting Developmental delay prevention activities, dependent child of client Repair/modification of augmentative communicative system or device. (not hearring aide) Per event 4 procedures per day Procedure/ Limit 1 unit V5336 N and Hearing V5362 Screening and Hearing V5363 Language screening and Hearing V5364 Dysphsia screening and Language Diagnostic analysis of cochlear implant w/ programming, child under age 7 Under age 7 only and Language Diagnostic analysis of cochlear implant w/ programming, child under age 7 Under age 7 only Evaluation for prescription of non-speech and Language generating augmentative & alternative communication device. Limit not specified and Language Therapeutic service(s) for the use of nonspeech generating device, including programming and modification. Limit not specified and Language Evaluation for prescription for speechgenerating augmentative and alternative communication device, face to face, first hour 1st Hour C:\Documents and Settings\dackerman.SUNNOXFORD\Local Settings\Temporary Internet Files\OLKCD\Copy of ICD9 s_4 15_ xls Page 7

8 and Language and Language and Language and Language and Language Evaluation for prescription for speechgenerating augmentative and alternative communication device each additional 30 minutes Therapeutic services for the use of speechgenerating device, including programming and modification Evaluation of oral and pharyngeal swallowing function additional 30 minute increments Add on to Cognitive skills development Session limit 4 units Sensory Integration Session limit 4 units C:\Documents and Settings\dackerman.SUNNOXFORD\Local Settings\Temporary Internet Files\OLKCD\Copy of ICD9 s_4 15_ xls Page 8