Codigos Psicologicos

MEDICARE J14 A/B MAC

PART B
RT B

Mental Health Services Billing Guide
July 2010

NHIC, Corp.

REF-EDO-0012 Version 1.0

Mental Health Services Billing Guide _________________________________________________________________________

NHIC, Corp.
REF-EDO-0012 Version 1.0

2

July 2010

The controlled version of this document resides on the NHIC Quality Portal (SharePoint).Any other version or copy, either electronic or paper, is uncontrolled and must be destroyed when it has served its purpose.

Mental Health Services Billing Guide _________________________________________________________________________

Table of Contents
Introduction .........................................................................................................................6General Information ............................................................................................................7 Provider Qualifications .......................................................................................................7 Physicians - Psychiatrists ...............................................................................................7 Clinical Psychologist(CP) ..............................................................................................7 Independent Psychologist/Non-Clinical Psychologist (NCP)........................................8 Clinical Social Workers (CSW) .......................................................................................9 Physician Assistant (PA).............................................................................................. 10 Nurse Practitioner (NP) ............................................................................................... 10 Clinical Nurse Specialist (CNS) .................................................................................... 11 Incident-to Services.......................................................................................................... 11 Mental health services ...................................................................................................... 12 Psychiatric Diagnostic Interview ..................................................................................... 12 Psychiatric Therapeutic Procedures................................................................................. 12 E/M andPsychotherapy Rendered on the Same Day...................................................... 13 Family Medical Psychotherapy ....................................................................................... 14 Group Psychotherapy ...................................................................................................... 14Psychoanalysis................................................................................................................. 16 Pharmacologic Management ........................................................................................... 16 Electroconvulsive Therapy .............................................................................................. 16 Central Nervous SystemAssessments/Tests................................................................... 17 Health and Behavior Assessment/Intervention .............................................................. 18 Hypnotherapy ................................................................................................................. 19 Narcosynthesis ................................................................................................................ 19Biofeedback Therapy ....................................................................................................... 19 Non-covered services ....................................................................................................... 20 Environmental Intervention ............................................................................................ 20 Geriatric Day Care...