G0502 |
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Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional; initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan; review by the psychiatric consultant with modifications of the plan if recommended; entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant; and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies
short | Init psych care manag, 70min |
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G0503 |
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goals and are prepared for discharge from active treatment
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G0504 |
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Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional (list separately in addition to code for primary procedure); (use g0504 in conjunction with g0502, g0503)
short | Init/sub psych care add 30 m |
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G0505 |
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Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment, history obtained from patient and/or caregiver, in office or other outpatient setting or home or domiciliary or rest home
short | Cog/func assessment outpt |
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G0506 |
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Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
short | Comp asses care plan ccm svc |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
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| 0.87 | 0.36 | 0.83 | 0.06 | 1.29 | 1.76 | ZZZ |
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MUE | Location | Value | Ajudication Indicator | Rationale |
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PRA | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction | OPH | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction |
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G0507 |
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Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team
short | Care manage serv minimum 20 |
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