4) Multiply your contracted rate for each CPT code by 1.05. Next will be picking an area that is undeserved to the best of your estimation. Also, if you have a Cigna employee assistance program (EAP) call us first at (877) 622-4327. MEDICARE ADVANTAGE . 125 things to know about the big 5 insurers. Services provided in the office during regularly scheduled evening, weekend, or holiday office hours. Cigna Insurance Company It is unique in that their reimbursement rates do not vary based on behavioral health service provided. Inquire about your local BCBS within google by typing in Blue Cross Blue Shield + your states name. 6. 5. Authorization requirement is dependent upon benefit plan. Reimbursement is based upon your EAP contractual rate. Employer services are also included to help address organizational concerns and traumatic events, and to help managers and HR professionals navigate some of the more challenging aspects of their jobs. Your location is one of the least flexible aspects that decides your contracted rate with insurance companies but it has a serious impact on your reimbursement rates for psychotherapy. You can simply Google your NPI number to find your license information including your taxonomy. Not all companies are easy to work with even if they pay well. If you dont want to deal with this mess, consider hiring us to do your billing and handle this for you. This is the least predictable factor in influencing your reimbursement rates and is more a reflection of your license and that insurance company needing to fill a gap in service offerings or not. 2 CPT Code 90404: Cigna EAP. Tip: You will probably need to establish a separate legal business to work with these companies so expect to create an E-IN for your new practice to get paid the best rates. "I got highly qualified vendors with high match scores in minutes it would have taken me weeks on my own!" You can use these rate differences as estimates on the rate changes for private insurance companies, however its best to ensure the specific CPT code you want to use is covered by insurance. Send Cigna Customer Support or another Cigna contact email. Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. As a result, Cigna determined that the benefits to organizations far outweighed the costs, and increased its own tuition reimbursement levels from $5,250 for undergraduate courses and certificates and $8,000 for graduate courses each year to a maximum of $10,000 and $12,000 respectively. It cannot be stated enough: the following information is not direct information from each of these insurance companies but rather is an average of fee schedules based exclusively on contracts with these companies. Cigna / MHN EAP CPT Code. Therefore, we will adjust claims paid less than $40 between March 15 and June 30, 2021, to reimburse at $40 per administration. It would be convenient for them to have multiple mental health providers on staff who specialize in different things. Psychotherapy, 30 minutes (16-37 minutes). Heres a look at what they suggest normal private insurance rates are by CPT code, nationally: Medicare reduces insurance reimbursement rates for psychotherapy on a relative basis. E-mail Cigna (PDF) Last Updated Apr 5, 2012. Used only in conjunction with CPT 90839. The biggest reason they dont release contracted rate information is they change their rates daily, depending on a few factors and mechanisms. Services are available online, over the phone, or in person. The truth is there are no guarantees about your contracted rates and this article certainly is not one. These two companies use a unique CPT code for EAP sessions. Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. Your specialization is optimized when deciding what youre going to study or what you will choose to study in the future. cigna eap provider reimbursement rates. For the same reason that Medicare is hard to bill, except that each state has their own contract instead of each region (see Medicare map). If you want to become in-network with higher paying, lower fuss plans, it is likely youll need a longer amount of experience and possibly a track record of working with that plan as a provider in a previous group or agency. Used in conjunction with 90839. Phone: 888-600-9802. caqh.updadmin@acsgs.com. Example: Clinical Nurse Specialist evaluates medication response, then has 45 minute session. But on the other hand, if a company is easy to get accepted into their network, odds are higher they do not reimburse as much. Step 1: Add the EAP to the insurance database, giving it an obvious title (' Optum EAP', for example,). If you do want to serve an older demographic or have specialized in care tailored to their needs, its important to understand the license required for you to be able to be accepted within Medicare. We offer an mental health billing service to end all your insurance and claims nightmares! If you have any questions or would like more information about participating in a Cigna health care network, please contact us. Employee Assistance Program (EAP) code ID number follows no pattern or format . Showing results for "fee schedule". Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Choosing which companies to apply to depends on a number of factors but can fall cleanly into three buckets: For the best possible guidance, try to pick only two of these three possible options and weight their significance to you in your current private practice. cigna eap provider reimbursement ratesnegative economic impact grant georgia. cigna eap provider reimbursement rates Posted by on Jun 10, 2022 in coyote sightings map pinellas county | churro cheesecake recipe 2006 upper deck football checklist cigna life assistance program brochure. See if you can make your practice work without utilizing those lower-paying plans. Or skip to our mental health CPT code list PDF download. cigna. My daily insurance billing time now is less than five minutes for a full day of appointments. R26 - Physician Interpretation and Report (I&R) Services. edicaid mental health reimbursement rates differ in that m, Child & Adolescent Psychiatry 2084P0804X, Behavioral Health & Social Service Provider Taxonomy Codes, Addiction (Substance Use Disorder) 101YA0400X, Addiction (Substance Use Disorder) 103TA0400X, Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginners Guide To Mental Health Billing, mental health reimbursement rates by CPT code, Why Insurance Companies Dont Release Reimbursement Data, Your Location Impacts Your Mental Health Reimbursement Rate, Insurance Reimbursement Rates for Psychotherapy by State, Psychotherapy Reimbursement Rates for Private Insurance, Your License Impacts Your Insurance Reimbursement Rate for Psychotherapy, Medicaid Mental Health Reimbursement Rates [2023], Medicaid License Practitioner Level Information, Medicaid Mental Health Reimbursement Rates for Individual Therapy [2023], Your Taxonomy Code Impacts Your Insurance Reimbursement, Medicare Reimbursement Rates for Psychotherapy [2023], How to Choose Insurance Companies for Mental Health Credentialing, Medicaids PDF on Mental Health Payment Rates, mental health credentialing services page, behavioral health insurance reimbursement rates, commercial insurance fee schedule for therapists, insurance reimbursement rates for mental health, psychotherapy insurance reimbursement rates, psychotherapy reimbursement rates for private insurance, psychotherapy reimbursement rates private insurance, Inquire about our mental health insurance billing service, offload your mental health insurance billing, SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO COUNTY), OAKLAND-BERKLEY (ALAMEDA AND CONTRA COSTA), SAN FRANCISCO-OAKLAND-HAYWARD (MARIN COUNTY), RIVERSIDE-SAN BERNARDINO-ONTARIO (SAN BERNARDINO AND RIVERSIDE COUNTY), SACRAMENTO-ROSEVILLE-ARDEN-ARCADE (SACRAMENTO, PLACER, YOLO, EL DORADO), LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES COUNTY), SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE, HAWAII, GUAM, AMERICAN SAMOA, MARSHALL ISLANDS, PALAU, NORTHERN MARIANA ISLANDS, FEDERATED STATES OF MICRONESIA, PORTLAND (CLACKAMAS, MULTNOMAH AND WASHINGTON), METROPOLITAN ST. LOUIS (JEFFERSON, ST. CHARLES, ST. LOUIS AND ST. LOUIS CITY), METROPOLITAN KANSAS CITY (CLAY, JACKSON AND PLATTE), SUBURBAN CHICAGO (DUPAGE, KANE, LAKE AND WILL), EAST ST. LOUIS (BOND, CALHOUN, CLINTON, JERSEY, MACOUPIN, MADISON, MONROE, MONTGOMERY, RANDOLPH, ST. CLAIR AND WASHINGTON), NEW ORLEANS (JEFFERSON, ORLEANS, PLAQUEMINES AND ST. BERNARD), DETROIT (MACOMB, OAKLAND, WASHTENAW AND WAYNE), FORT LAUDERDALE (BROWARD, COLLIER, INDIAN RIVER, LEE, MARTIN, PALM BEACH, AND ST. LUCIE), ATLANTA (BUTTS, CHEROKEE, CLAYTON, COBB, DEKALB, DOUGLAS, FAYETTE, FORSYTH, FULTON, GWINNETT, NEWTON, ROCKDALE AND WALTON), DC + MD/VA SUBURBS (DISTRICT OF COLUMBIA; ALEXANDRIA CITY, ARLINGTON, FAIRFAX, FAIRFAX CITY, FALLS CHURCH CITY IN VIRGINIA; MONTGOMERY AND PRINCE GEORGE'S IN MARYLAND), NORTHERN NEW JERSEY (BERGEN, ESSEX, HUDSON, HUNTERDON, MIDDLESEX, MORRIS, PASSAIC, SOMERSET, SUSSEX, UNION AND WARREN), METROPOLITAN PHILADELPHIA (BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA), NYC SUBURBS/LONG ISLAND (BRONX, KINGS, NASSAU, RICHMOND, ROCKLAND, SUFFOLK AND WESTCHESTER), POUGHKPSIE/N NYC SUBURBS (COLUMBIA, DELAWARE, DUTCHESS, GREENE, ORANGE, PUTNAM, SULLIVAN AND ULSTER), SOUTHERN MAINE (CUMBERLAND AND YORK COUNTY), METROPOLITAN BOSTON (MIDDLESEX, NORFOLK AND SUFFOLK), United Health Care / United Behavioral Health / Optum, LMFT, Licensed Marriage and Family Therapist, LICSW, Licensed Independent Social Workers, MD / PhD, American Board of Psychiatry and Neurology Certified, Psychological Evaluation (Each Additional Hour), Psychological Evaluation (First 30 Minutes), Psychological Evaluation (Each Additional 30 Minutes), Psychological Diagnostic Evaluation with Medication Management, Individual Psychotherapy with Evaluation and Management Services, 30 minutes, Individual Psychotherapy with Evaluation and Management Services, 45 minutes, Individual Psychotherapy with Evaluation and Management Services, 60 minutes, Individual Crisis Psychotherapy initial 60 min, Individual Crisis Psychotherapy initial 60 min, each additional 30 min, Evaluation and Management Services, Outpatient, New Patient, Evaluation and Management Services, Outpatient, Established Patient, Family psychotherapy without patient, 50 minutes, Family psychotherapy with patient, 50 minutes, Assessment of aphasia and cognitive performance, Developmental testing administration by a physician or qualified health care professional, 1st hr, Developmental testing administration by a physician or qualified health care professional, each additional hour, Neurobehavioral status exam performed by a physician or qualified health professional, first hour, Neurobehavioral status exam performed by a physician or qualified health professional, additional hour, Standardized cognitive performance test administered by health care professional, Brief emotional and behavioral assessment, Psychological testing and evaluation by a physician or qualified health care professional, first hour, Psychological testing and evaluation by a physician or qualified health care professional, each additional hour, Neuropsychological testing and evaluation by a physician or qualified health care professional, first hour, Neuropsychological testing and evaluation by a physician or qualified health care professional, each additional hour, Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, first hour, Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, each additional hour, Neuropsychological or psychological test administration and scoring by a technician, first hour, Neuropsychological or psychological test administration and scoring by a technician, each additional hour, Psychotherapy with patient for 30 minutes, Psychotherapy and evaluation and management with patient for 30 min, Psychotherapy with patient for 45 minutes, Psychotherapy and evaluation and management with patient for 45 min, Psychotherapy with patient for 60 minutes, Psychotherapy and evaluation and management with patient for 60 min, Mental health crisis, each additional 30 minutes, Family psychotherapy without the patient, 50 min, Family psychotherapy with the patient, 50 min. Click on Submit an EASI Form on the left-hand menu (under My Claims ). Here is another example of Medicaid determined private rates; specifically Medicaid Reimbursement Rates for Mental Health Services in Mississippi: Again, these are the rates that have been determined as average payment rates by insurance based on research done by that States medicaid program, in this case Mississippi. 2020 Cigna Medicare Provider Manual - Version 4 INT_20_82989_C Page 1 of 123 Payment is made according to the rate specified in the Cigna Behavioral Health Participating Provider Agreement. This information does not take into account the effect of the license or practitioner level on total reimbursement rate. This means most often Medicaid, EAPs, and out-of-network coverage. Call and verify eligibility and benefits or hire a billing team to take care of it for you. Modifier 95, GT, or GQ must be appended to the virtual care code (s). Medicaid. Can include group, individual, and family therapy. For all other questions, please refer to the plan contact information found on the following page. 2014 reimbursement rate table modifiers are to be. I cannot capture in words the value to me of TheraThink. Applied Behavior Analysis (ABA) Initial Assessment Network Exception Request Form. Get access to thousands of forms. cigna eap webcasts. Medicare pays well! that insure or administer group HMO, dental HMO, and other products or services in your state). Are you looking to increase the number of sessions you do? EAP services are also available to anyone in your household. Online EASI Form -- Use the online application to conveniently and easily submit your EASI forms. Free Account Setup - we input your data at signup. R27 - Related Services, Supplies, Drugs, and Equipment. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Specimen Validity Testing Reimbursement Policy (Retired) Spravato Reimbursement Policy - Updated 4-1-2022. Specialist/Psychiatric Mental Health (CNSPMH) and Nurse, Licensed Marriage and Family Therapist (LMFT), Licensed Associate Professional Counselor (LAPC), Licensed Associate Marriage and Family Therapist (LAMFT), Certified Clinical Alcohol and Drug Counselor (CCADC), National Board of Certified Counselors (NBCC), Master Addiction Counselor, (MAC) through National Association of Alcohol and Drug Counselors, (NAADC), Certified Alcohol and Drug Counselor (CADC), Certified Addiction Counselor, Level I (CAC-I), Certified Addiction Counselor, Level II (CAC-II), Registered Alcohol and Drug Technician I, II, III, Certified Psychiatric Rehabilitation Professional (CPRP), Psychologist/LCSW/LPC/LMFTs supervisee/trainee with at least a Bachelors degree in one of the helping professions such as social work, community counseling, counseling, psychology, or criminology, functioning within the scope of the practice acts of the state. You free me to focus on the work I love!. maximum reimbursable charge seton hall university. Avoid plans requiring authorization. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! You could move to Alaska. 09/01/2021. So you want to figure out what are insurance reimbursement rates for psychotherapy and mental health services. The maximum reimbursement rates allowed for anesthesiologist services (CPT codes 00100 thru 01999) are derived by adding the base unit (for the procedure code) plus the time units (15 minutes per unit) and multiplying by a conversion factor. If you live in San Francisco, Los Angeles, Seattle, or many cities with high levels of education, there tend to be an abundance of mental health providers serving those locales. Our data is encrypted and backed up to HIPAA compliant standards. Authorization requirements apply for services provided by in and out of network providers according to plan rules as listed in the online provider manual. Adding another 30 minutes. As such, your states Medicaid policy is up to them. PROVIDER MANUAL . 3 CPT Code 90404 Reimbursement Rate. Mental health partial hospitalization, treatment. Same Day Same Service Reimbursement Policy New Policy 9-1-2021. Below is a table showing the rates that have been determined by Medicaid for these differing license levels for commercial insurance polices: Now you must be wondering: What??!! Again, this is a case by case situation youll need to research and address. When calling, the customer will talk to a Personal Advocate who will Example: play therapy using dolls or other toys. These are the rates that they established as averages nationally based on a huge survey of insurance policies by their relative license. EAP services are in addition to, not instead of, your health plan benefits. Given that Cigna Behavioral health services has many different types of plans, it is important to remember to obtain an assignment of benefits to receive direct payment from Cigna Behavioral Health or the claims payor. 4. ResourcesClinical Reimbursement Policies and Payment Policies. Our Employee Assistance Program (EAP) provides access to work/life resources, and licensed clinicians. 25 Years Exp. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. This can skew data downward in comparison to brands that to not facilitate a Medicaid plan in that State. Denny has interviewed hundreds of mental health practitioners to better understand their struggles and solutions, all with the goal of making the professional side of behavioral health a little easier, faster, and less expensive. These are payment averages that do not represent the rates of any of the aforementioned insurance companies are a not a guarantee of any rate or payment amount. cigna eap provider reimbursement ratesvolkswagen scirocco body kit. ellie simmonds siblings. Legal consultations related to Some EAP's require the use of a different CPT code to indicate that it's an EAP claim. R25 - Drug Testing Billing Requirements. Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. We are your billing staff here to help. cigna eap statement of understanding. 939798 03/21 HJ Modifier for EAP Billing and Coding [2020 Guide] The HJ billing modifier is a H Code HCPCS modifier used in coding claims. In summary, some private insurance companies reimburse mental health therapists for far more than others. The Cigna Eap form allows employers to enroll employees in the program. Ask your colleagues which plans pay the worst. Additional time after the additional time of 74 minutes. Note: We only work with licensed mental health providers. These are the commercial insurance reimbursement rates for psychotherapy determined by Medicaid. Get started Contact us LEARN MORE This is not a representation of what rates will be today or in the future but a general range to expect, rather we are illustrating that each state varies. cigna eap provider reimbursement ratesdon't let family ruin your relationship quotes. Evaluation and Management code for 60 minutes of psychotherapy (used with 90837). Medicare subcontracts out to many different subcontractors like Noridian or Palmetto or Novitas or NGS or WPS or FCSO. CPT Code 90404: The Definitive Guide [+Reimbursement Rates] 1 CPT Code 90404 Description. 3 of 2 97151 (15 min) 97156 (15 min) T1023 (per measure reported) LOC State Location Name BCBA-D/BCBA/Assistant BCBA-Ds BCBAs BCaBAs BTs BCBA-Ds BCBAs BCaBAs BCBA-D/BCBA/Assistant BCBA-D/BCBA When calling, the customer will talk to a Personal Advocate who will EAPs have incentive to negotiate rates. You can call, text, or email us about any claim, anytime, and hear back that day. An EAP telephone consultation is a phone-based service designed to: Help you clarify concerns. If youre wondering about which private insurance companies are reimbursing the most in your state with your license, were happy to help you fill in the gaps. access Cigna's Employee Assistance Program services by phone or online 24 hours a day, 7 days a week. Find out what you need to know about Cigna reimbursement policies and procedures. Individual/Clinic Contracted Services Services Rev codes Preferred CPT/HCPCS codes Authorization Required Billing Form Applied Behavioral Analysis (ABA) N/A 0362T, 0373T, 97151 - 97158 Call to verify. consistent. Psychotherapy, 60 minutes (53 minutes and over). An Example is Cigna EAP, which requires you to bill the 99404 CPT code in order to designate that it's an EAP session. EAP plans typically pay less than commercial plans and private pay, and reimbursement rates can vary widely per plan. For specific recommendations for credentialing in your state, feel free to reach out to us at TheraThink for help. Finally, consider choosing a specialization that fills in a service gap that is regularly sought after. We charge a percentage of the allowed amount per paid claim (only paid claims). Applied Behavior Analysis (ABA) Prior Authorization Form. As private practitioners, our clinical work alone is full-time. ! And youre right. Its worth noting that none of these are impossible to bill but each company has particularities about their claims filing process, operational speed, and subcontracting policy, which can lead to a higher likelihood of problems and a longer claims and revenue cycle. When Grouping services, the place of service, procedure code, charges, and individual provider for each line must be identical for that service line., Global Days Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans. If you are interested in becoming a Medi-Cal Dental Provider: Please contact the Provider Telephone Service Center at 1-800-423-0507. Consider hiring a service like TheraThink that exclusively does mental health insurance billing. and the service map for each insurance company youre applying to. Specimen Validity Testing Reimbursement Policy (Retired) Spravato Reimbursement Policy. EAP telephone consults last 20 to 30 minutes, and are available Monday-Friday between the hours of 8 a.m. and 6 p.m. Eastern time. 2022mental health reimbursement rate toolreimbursement rate comparison. Involves treatment five to seven days per week for six hours each day. This letter is a request for an increase in reimbursement rates for the routine outpatient mental health services that I provide and have provided to (Aetna, Cigna, UHC) clients for _____ years. The closer you are in proximity to under-served locales, the higher you can expect your rates to be priced. Because of this, you should not collect a copayment login.coronaMsg.title login.coronaMsg.message login.coronaMsg.learnMore . Mental Health CPT Code List Download When a customer needs help, they make a toll-free call to speak with an experienced professional, available any hour of the day or night. With that being said, if those plans serve a large amount of clients, you may benefit from taking a pay cut to increase your caseload. Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed. Commercial plan benefits: Fee schedule and policies may vary among payers for behavioral health services. Its likely to be one of the following: These taxonomy codes reflect specializations of treatment related to your specific mental health provider license. My daily insurance billing time now is less than five minutes for a full day of appointments. This way you'll get full access to your benefits and Customers are required to pay the entire discounted charge for any discounted legal and/or financial services. You and your Cigna patients with both medical and pharmacy benefits have access to programs that increase medication adherence and improve outcomes. Electronic Funds Transfer (EFT) Electronic Remittance Advice (ERA) Overpayment Recovery Procedures You can also find information about default fee schedule changes and reasonable and customary charges on this Cigna for Health Care Professionals Website. Behavioral Appeals Cover Sheet. Let us handle handle your insurance billing so you can focus on your practice. (But not required!) Internal Medicine. Often includes an evaluation by a psychiatrist. Connect you to appropriate resources. Get access to thousands of forms. PDF. The total hourly cash compensation, which includes base and short-term incentives, can vary anywhere from $34 to $43 with the average total hourly cash compensation of $38. Each state runs their BCBS in their own way so ask colleagues as well. cigna eap provider reimbursement rates cigna life assistance program brochure cigna eap webcasts cigna eap jobs employee assistance program providers cigna claims Create this form in 5 minutes! Avoid subcontracted plans if you dont understand them. cigna claims. If you want to be able to work with all companies without any problems, any reputable insurance billing service will be able to help do the aforementioned billing complexities without you having to be involved. Average commercial prices varied dramatically across states, from below Medicare rates in Alabama (98% of Medicare) to nearly twice Medicare rates in Wisconsin (188% of Medicare). The reason I would recommend working with Medicaid is to establish a very busy practice (perhaps with a billing team on your side) and/or because you want to serve this population of folks in need. 41 Mall Rd, Burlington, MA 01805 1.77 miles. These are the commercial insurance reimbursement rates for psychotherapy determined by Medicaid. Last, list the increased rates you are requesting from that insurance by CPT code. Medicaid mental health reimbursement rates differ in that medicaidreducesthese rates to providers at Practitioner Levels 2-5, which cover all licensed mental health providers except MDs. If you are struggling to pick the right companies to increase your caseload, consider working with our mental health billing service to get these sorts of questions answered, along with all your billing, with way less headache along the way. cigna eap provider reimbursement rates. We find that commercial prices for professional services were, on average, 122% of Medicare rates nationally in 2017. M edicaid mental health reimbursement rates differ in that m edicaid reduces these rates to providers at Practitioner Levels 2-5, which cover all licensed mental health providers except MDs. For safe, secure access to your Cigna account, update your browser for free online: Google Chrome, Internet Explorer, Microsoft Edge, Mozilla Firefox. Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginners Guide To Mental Health Billing, Credentialing Recommendations for New Practices, Highest Paying Insurance Companies for Mental Health, Medicare Reimbursement Rates [Search by CPT Code], Inquire about our mental health insurance billing service, offload your mental health insurance billing, Psychological Diagnostic Evaluation with Medication Management, Individual Psychotherapy with Evaluation and Management Services, 30 minutes, Individual Psychotherapy with Evaluation and Management Services, 45 minutes, Individual Psychotherapy with Evaluation and Management Services, 60 minutes, Individual Crisis Psychotherapy initial 60 min, Individual Crisis Psychotherapy initial 60 min, each additional 30 min, Evaluation and Management Services, Outpatient, New Patient, Evaluation and Management Services, Outpatient, Established Patient, Family psychotherapy without patient, 50 minutes, Family psychotherapy with patient, 50 minutes, Assessment of aphasia and cognitive performance, Developmental testing administration by a physician or qualified health care professional, 1st hr, Developmental testing administration by a physician or qualified health care professional, each additional hour, Neurobehavioral status exam performed by a physician or qualified health professional, first hour, Neurobehavioral status exam performed by a physician or qualified health professional, additional hour, Standardized cognitive performance test administered by health care professional, Brief emotional and behavioral assessment, Psychological testing and evaluation by a physician or qualified health care professional, first hour, Psychological testing and evaluation by a physician or qualified health care professional, each additional hour, Neuropsychological testing and evaluation by a physician or qualified health care professional, first hour, Neuropsychological testing and evaluation by a physician or qualified health care professional, each additional hour, Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, first hour, Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, each additional hour, Neuropsychological or psychological test administration and scoring by a technician, first hour, Neuropsychological or psychological test administration and scoring by a technician, each additional hour, Psychiatric Diagnostic Evaluation (usually just one/client is covered).
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