Please be advised that the following fee schedule will apply to the following therapy services effective December 11, 2011
Fee Schedule
|
Code |
Service |
Time |
Amount |
Note |
|
90801 |
Diagnostic Interview |
To 1 hour |
$80.00 |
This is the first visit or if a new clinical assessment needs to be completed. |
|
Report writing/Letters |
Report writing/Letters |
Per 15 minute increment |
$25.00 |
|
|
90806 |
Individual therapy |
45 to 50 min |
$80.00 |
|
|
90808 |
Individual therapy |
75 to 80 minutes |
$130.00 |
|
|
|
|
|
|
|
|
90846 |
Family therapy with out patient |
45 to 50 min |
$80.00 |
|
|
90847 |
Family Therapy with patient |
45 to 50 min |
$80.00 |
|
|
90853 |
Group Psychotherapy |
45 to 50 minutes |
$40.00 |
|
|
90880 |
Clinical Hypnosis |
Up to 50 minutes |
$80.00 |
|
|
96100 |
Psych Testing |
Per hour. |
$80.00 |
|
|
99372 |
Telephonic Consultation Intermediate level |
Up to 30 minutes 31 to 45 minutes 46 to 60 minutes |
$35.00 $45.00 $65.00 |
|
|
99371 |
Other Case Management |
Per 15 minute increment |
$25.00 |
|