knowledge/lexical/codes
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| node_id UInt32 | code Utf8 | text Utf8 | __row_id Int64 |
|---|---|---|---|
| 2763 Filter to this value Explore graph node | 90836 Filter to this value | 90836 Psychotherapy 45 minutes, add-on to an E/M medicaid-co code-disposition criteria: for members under 21 years old, Autism Spectrum Disorder (F84.0-F84.9) is a covered diagnosis medicaid-co code-disposition criteria: for members under 21 years old, Autism Spectrum Disorder (F84.0-F84.9) is a covered diagnosis for this service. medicaid-co code-disposition disposition: payable-with-criteria medicaid-co code-disposition effective date: January 1, 2024 medicaid-co code-disposition effective_date: January 1, 2024 | 170 |
| 2764 Filter to this value Explore graph node | 90837 Filter to this value | 90837
Psychotherapy 60 minutes with patient - the code payers audit and downcode to 90834 Filter to this value | 171 |
| 2765 Filter to this value Explore graph node | 90838 Filter to this value | 90838 Psychotherapy 60 minutes, add-on to an E/M medicaid-co code-disposition disposition: payable-with-criteria medicaid-co code-disposition effective date: January 1, 2024 | 172 |
| 2766 Filter to this value Explore graph node | 90839 Filter to this value | 90839 Psychotherapy for crisis, first 60 minutes medicaid-co code-disposition criteria: *Less than 30 minutes should be billed as 90832 or 90833. medicaid-co code-disposition criteria: ENC Min: 31 mins Max: 74 mins medicaid-co code-disposition criteria: cannot be billed in addition to psychotherapy on the same day by the same health care professional. medicaid-co code-disposition disposition: integral-to-other-service medicaid-co code-disposition disposition: not-reimbursable medicaid-co code-disposition disposition: payable-with-criteria medicaid-co code-disposition effective-date: not-stated medicaid-co code-disposition not-reimbursable: Any MCR disposition to law enforcement intervention cannot be billed. medicaid-co furnishing-rule who may perform: Licensed EdD/PhD/PsyD | 173 |
| 2767 Filter to this value Explore graph node | 90840 Filter to this value | 90840 Psychotherapy for crisis, each additional 30 minutes - add-on to 90839 medicaid-co code-disposition criteria: cannot be billed in addition to psychotherapy on the same day by the same health care professional. medicaid-co code-disposition disposition: integral-to-other-service medicaid-co code-disposition disposition: not-reimbursable medicaid-co code-disposition disposition: payable-with-criteria medicaid-co code-disposition effective date: April 1, 2026 medicaid-co code-disposition effective-date: not-stated medicaid-co code-disposition effective_date: July 1, 2025 medicaid-co code-disposition payable-with-criteria: 90840 is the add-on code for the primary code of 90839. Use 90840 for each additional 30 minutes of service past 74 minutes. 90840 can only be used if 90839 is also reported and the entire crisis session (including time reported using 90839) is over 74 minutes. medicaid-co furnishing-rule who may perform: Licensed EdD/PhD/PsyD | 174 |
| 2768 Filter to this value Explore graph node | 90846 Filter to this value | 90846 Family psychotherapy WITHOUT the patient present, 50 minutes medicaid-co code-disposition criteria: for members under 21 years old, Autism Spectrum Disorder (F84.0-F84.9) medicaid-co code-disposition criteria: for members under 21 years old, Autism Spectrum Disorder (F84.0-F84.9) is a covered diagnosis for this service medicaid-co code-disposition criteria: when a paid facility staff member of an institution or counselor attends a family session without the member's family/significant other present medicaid-co code-disposition disposition: not-reimbursable medicaid-co code-disposition disposition: payable-with-criteria medicaid-co code-disposition effective date: January 1, 2024 medicaid-co code-disposition effective date: not-stated medicaid-co code-disposition effective_date: January 1, 2024 medicaid-co code-disposition integral-to-other-service: Family history and/or E/M services are not included in 90846. medicaid-co code-disposition not-reimbursable: Family psychotherapy is not reported when a paid facility staff member of an institution or counselor attends a family session without the member's family/significant other present. medicaid-co code-disposition not-reimbursable: when a paid facility staff member of an institution or counselor attends a family session without the member's family/significant other present. medicaid-co code-disposition payable-with-criteria: for members under 21 years old, Autism Spectrum Disorder (F84.0-F84.9) is a covered diagnosis for this service. | 175 |
| 2769 Filter to this value Explore graph node | 90847 Filter to this value | 90847 Family psychotherapy WITH the patient present, 50 minutes medicaid-co code-disposition criteria: for members under 21 years old, Autism Spectrum Disorder (F84.0-F84.9) is a covered diagnosis medicaid-co code-disposition disposition: payable-with-criteria medicaid-co code-disposition effective date: January 1, 2024 medicaid-co code-disposition effective-date: January 1, 2024 medicaid-co code-disposition effective_date: January 1, 2024 medicaid-co code-disposition not-reimbursable: when a paid facility staff member of an institution or counselor attends a family session without the member's family/significant other present medicaid-co code-disposition payable-with-criteria: for members under 21 years old, Autism Spectrum Disorder (F84.0-F84.9) is a covered diagnosis medicaid-co code-disposition payable-with-criteria: for members under 21 years old, Autism Spectrum Disorder (F84.0-F84.9) is a covered diagnosis for this service. medicaid-co furnishing-rule who may perform: Licensed EdD/PhD/PsyD LAC | 176 |
| 2770 Filter to this value Explore graph node | 90853 Filter to this value | 90853 Group psychotherapy, other than a family group - per patient per session medicaid-co code-disposition criteria: for members under 21 years old, Autism Spectrum Disorder (F84.0-F84.9) is a covered diagnosis for this service. medicaid-co code-disposition disposition: payable-with-criteria medicaid-co code-disposition effective date: January 1, 2024 | 177 |
| 2771 Filter to this value Explore graph node | 90887 Filter to this value | 90887 Interpretation or explanation of results to family or other responsible parties medicaid-co furnishing-rule supervision level: must be supervised by a licensed psychologist | 178 |
| 2772 Filter to this value Explore graph node | 96127 Filter to this value | 96127
Brief emotional or behavioural assessment with scoring - the PHQ-9 and GAD-7 code, often bundled into the visit Filter to this value | 179 |