02/04/11
Social Worker
Tip Sheet
Service Type
Procedure
Code
Start/End
Time
Medical Areas
MET/Eval (Initial and 3-Year Redetermination) – Includes meetings, reports, and evals – Date of service is date of determination of
eligibility (IEP Mtg.) One log represents all the work done for the evaluation.
 MET/Eval – Mental Health Assessment: A professional , clinical
H0031HT
No
Yes
evaluation of the student’s overall mental health functioning
 MET/Eval – Developmental Testing; Limited: Developmental
96110HT
No
Yes
Screening Test II, Early Language Milestone Screen
 MET/Eval – Developmental Testing; Extended: Includes
96111HT
No
Yes
assessment of motor, language, social, adaptive and/or cognitive
functioning by standardized developmental instruments
IEP (Annual and Initial) One log represents all the work done for the IEP
H0031TM
No
Yes
 Includes meetings, reports, and evals
 Date of service is date of IEP Mtg.
Tests/Assessments not related to MET or IEP - Do not select this, if testing is part of IEP or MET - Date of service is date test is completed
H0031
No
Yes
 Non – MET/Eval – Mental Health Assessment
96110
No
Yes
 Non – MET/Eval – Developmental Testing; Limited
96111
No
Yes
 Non – MET/Eval – Developmental Testing; Extended
Individual Psychotherapy, Insight-oriented (20-30min)
90804
Yes
Yes
 Behavior modifying and/or supportive, in an office or outpatient
facility, face-to-face w/patient
Individual Psychotherapy, Insight-oriented (45-50min)
90806
Yes
Yes
 Behavior modifying and/or supportive, in an office or outpatient
facility, face-to-face w/patient
Individual Psychotherapy, Interactive (20-30min)
Yes
Yes
 Using play equipment, physical devices, language interpreter, or
90810
other mechanisms for nonverbal communication, in an office or
outpatient facility, face-to-face w/patient
Individual Psychotherapy, Interactive (45-50min)
90812
Yes
Yes
 Using play equipment, physical devices, language interpreter, or
other mechanisms for nonverbal communication, in an office or
outpatient facility, face-to-face w/patient
Family Psychotherapy without Patient
90846
No
Yes
 Conjoint Psychotherapy
Family Psychotherapy with Patient
90847
No
Yes
 Conjoint Psychotherapy
Group Psychotherapy
90853
No
Yes
 Other than of a multiple-family group
Behavioral Health Counseling
H0004
Yes
Yes
Crisis Intervention
S9484
Yes
Yes
Monthly Progress Note
No
No
Student Absent
No
No
Student Unavailable
No
No
Provider Absent
No
No
Provider Unavailable
No
No
Nonbillable Entry
No
No
Medical Areas





Testing/Evaluation
IEP Development/Review
Crisis
Psychotherapy
Counseling
GENERAL INFORMATION
Consultation or consultative services are an integral part or an extension of a direct medical service and are not separately reimbursable.
Monthly progress notes:
 The Monthly Summary is a separate log that needs to be logged every month each time the following services are logged:
Psychotherapy, Group Psychotherapy, Behavioral Health Counseling/Therapy, Family Psychotherapy, & Crisis Intervention.
 Must include evaluation of progress, changes in medical or mental status, and changes in treatment with rationale for change
 Must be dated in the month the services were provided (i.e. a monthly progress note for services provided in September must be
dated in September) – using the last school day of the month is recommended
Crisis Intervention Services are unscheduled activities performed for the purpose of resolving an immediate crisis situation
 Activities include crisis response, assessment, referral and direct therapy
 Crisis Intervention Service is not listed in the student’s IEP/IFSP treatment plan
 Service is billed per hour – if less than one hour, the service is not billable
All student information contained in Illuminate Ed is private and confidential:
 Do not share your username and password with anyone
 Do not write your password down where it can be seen by others
 Always log off when finished using the system