90785
90791
90832
90834
90837
90839
90840
90847
90853
90887
**96101
96102
96103
96110
96111
**96116
**96118
96119
96120
Add-on code to be used in conjunction with codes for primary service: psychiatric diagnostic evaluation (90791); psychotherapy (90832, 90834,
90837); and group psychotherapy (90853)
Psychiatric diagnostic evalaution
Psychotherapy, 30 minutes with patient and/or family member
Psychotherapy, 45 minutes with patient and/or family member
Psychotherapy, 60 minutes with patient and/or family member
Psychotherapy for crisis, first 60 minutes
Add on for each additional 30 minutes of psychotherapy for crisis, used in conjunction with code 90839
Family psychotherapy, with patient present
Group psychotherapy
Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist the patient
Psychological testing (includes psycho-diagnostic assessment of emotionality, intellectual abilities, personality and psychopathology eg, MMPI, RORSCHACH, WAIS), per hour of the psychologist's or physician's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing report
Psychological testing (including psycho-diagnostic assessment of emotionality, intellectual abilities, personality and psychopathology eg,
MMPI, RORSCHACH, WAIS), with qualified health care professional interpretation and report, administered by technician, per hour of technician time, face-to-face
Psychological testing (including psycho-diagnostic assessment of emotionality, intellectual abilities, personality and psychopathology eg, MMPI, RORSCHACH, WAIS), administered by a computer, with qualified health care professional interpretation and report
Developmental testing; limited (eg, Developmental Screening Test II,
Early Language Milestone Screen), with interpretation and report
Developmental testing; extended (includes assessment of motor, language, social, adaptive, and/or cognitive functioning by standardized developmental instruments) with interpretation and report
Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgement, e.g., acquired knowledge, attention, language, memory, planning and problem striving, and visual spatial abilities), per hour of the psychologist's or physician's time, both face-to-face time with the patient and time interpreting test results and preparing report
Neuropsychological testing (e.g., Halstead-Reitan Neuropsychological
Battery, Wechsler Memory Scales, CNS Vital Signs and Wisconsin Card
Sorting Test), per hour of the qualified healthcare professional time, both face-to-face time administering tests to the patient, time interpreting and preparing report
Neuropsychological testing (e.g., Halstead-Reitan Neuropsychological
Battery, Wechsler Memory Scales, CNS Vital Signs and Wisconsin Card
Sorting Test), with qualified health care professional with interpretation and report
Neuropsychological testing (e.g., Wisconsin Card Sorting Test, CNS
Vital Signs), administered by a computer, with qualified health care professional interpretation and report
30 minutes
45 minutes
60 minutes
60 minutes each additional
30 minutes
$9.11
$44.37
$72.31
$36.05
$47.35
$70.13
$73.50
$35.26
$59.03
$14.26
$49.33
$35.46
$15.25
$9.20
$71.32
$51.70
$54.28
$44.97
$26.55
6035 Executive Drive Suite 103 Lansing, Michigan 48911
Phone: 517-908-0847 Fax: 517-381-8011 Website: www.scha-mi.org

96150
96151
96152
96153
96154
99408
99409
Health and behavior assessment (e.g., health-focused clinical intervi interview, behavioral observations, psychopysiological monitoring, health- oriented questionnaires), each 15 minutes face-to-face with the patient; initial assessment
Health and behavior assessment (e.g., health-focused clinical interview behavioral observations, psychopysiological monitoring, health- oriented questionnaires), each 15 minutes face-to-face with the patient; re-assessment
Health and behavior intervention, each 15 minutes, face-to-face, individual
Health and behavior intervention, each 15 minutes, face-to-face, group (2 or more patients)
Health and behavior intervention, each 15 minutes, face-to-face, family (with the patient present)
Alcohol and/or substance (other than tobacco) abuse structured screen- ing (e.g., AUDIT, DAST), and brief intervention (SBI) services; 15-30 minutes
Alcohol and/or substance (other than tobacco) abuse structured screen- ing (e.g., AUDIT, DAST), and brief intervention (SBI) servi services; greater than 30 minutes
15 minutes
15 minutes
15 minutes
15 minutes
15 minutes
15-30 minutes
>30 minutes
$26.00 15 min =
1 unit
$104.00 (4 unit max)
$26.00 15 min =
1 unit
$103.00 (4 unit max)
$25.00 15 min=1 u.
$96.00 (4 unit max)
$5.00 15 min(1 unit)
$22.00 (4 unit max)
$24.00 15 min = 1 u.
$96.00 (4 unit max)
$33.41
$65.51
6035 Executive Drive Suite 103 Lansing, Michigan 48911
Phone: 517-908-0847 Fax: 517-381-8011 Website: www.scha-mi.org