195
Total CPT Codes
171
Primary Codes
24
Add-on Codes
0
In Calculator
Category
Code Type
G2076 primary
Moderate
Medication assisted treatment services - OTP counseling
Individual psychotherapy, 60 minutes (53+ minutes).
Per counseling session - Medication assisted treatment services - OTP counseling. Counseling component of OTP.
MAT Services Primary code
Aetna: $177.13 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Medication assisted treatment services - OTP counseling. Counseling component of OTP.
G2077 primary
Low
Medication assisted treatment services - OTP drug screening
Individual psychotherapy, 60 minutes (53+ minutes).
Per drug screening - Medication assisted treatment services - OTP drug screening. Required drug screening for OTP.
MAT Services Primary code
Aetna: $108.85 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Medication assisted treatment services - OTP drug screening. Required drug screening for OTP.
G2078 primary
Low
Medication assisted treatment services - OTP take-home
Individual psychotherapy, 60 minutes (53+ minutes).
Per take-home dose - Medication assisted treatment services - OTP take-home. Take-home doses management.
MAT Services Primary code
Aetna: $35.28 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Medication assisted treatment services - OTP take-home. Take-home doses management.
G2079 primary
Moderate
Medication assisted treatment services - OTP stabilization
Individual psychotherapy, 60 minutes (53+ minutes).
Per stabilization - Medication assisted treatment services - OTP stabilization. Stabilization phase services.
MAT Services Primary code
Aetna: $86.26 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Medication assisted treatment services - OTP stabilization. Stabilization phase services.
G2080 primary
Low
Medication assisted treatment services - brief intervention
Individual psychotherapy, 60 minutes (53+ minutes).
Per brief intervention - Medication assisted treatment services - brief intervention. Brief MAT intervention.
MAT Services Primary code
Aetna: $30.54 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Medication assisted treatment services - brief intervention. Brief MAT intervention.
G2082 primary
Moderate
Collaborative care management - first month
Individual psychotherapy, 60 minutes (53+ minutes).
Once per patient (first month) - Collaborative care management - first month. Initial month of collaborative care program.
Care Management Primary code
Aetna: $720.97 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Collaborative care management - first month. Initial month of collaborative care program.
G2083 primary
Moderate
Collaborative care management - subsequent months
Individual psychotherapy, 60 minutes (53+ minutes).
Monthly (subsequent) - Collaborative care management - subsequent months. Ongoing collaborative care after first month.
Care Management Primary code
Aetna: $1,052.82 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Collaborative care management - subsequent months. Ongoing collaborative care after first month.
G2086 primary
Moderate
Collaborative care management - psychiatric consultation
Individual psychotherapy, 60 minutes (53+ minutes).
Per consultation - Collaborative care management - psychiatric consultation. Psychiatric consultation for CoCM.
Care Management Primary code
Aetna: $406.44 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Collaborative care management - psychiatric consultation. Psychiatric consultation for CoCM.
G2087 primary
Low
Collaborative care management - care team support
Individual psychotherapy, 60 minutes (53+ minutes).
Per support session - Collaborative care management - care team support. Care team support services.
Care Management Primary code
Aetna: $363.64 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Collaborative care management - care team support. Care team support services.
G2088 primary
Low
Collaborative care management - care coordination
Individual psychotherapy, 60 minutes (53+ minutes).
Per coordination session - Collaborative care management - care coordination. Care coordination activities.
Care Management Primary code
Aetna: $68.04 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Collaborative care management - care coordination. Care coordination activities.
H0020 primary
Moderate
Methadone administration and/or service by licensed program
Individual psychotherapy, 60 minutes (53+ minutes).
Per administration - Methadone administration by licensed program. Includes dispensing and observation.
MAT Services Primary code
Aetna: $0.00 Optum: $248.75
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Methadone administration by licensed program. Includes dispensing and observation.
H0033 primary
N/A
Oral medication administration, direct observation
Individual psychotherapy, 60 minutes (53+ minutes).
Per administration - Oral medication administration, direct observation. For MAT programs requiring observed dosing.
MAT Services Primary code
Aetna: $0.00 Optum: $289.98
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Oral medication administration, direct observation. For MAT programs requiring observed dosing.
H0037 primary
Moderate
Community psychiatric supportive treatment program, per diem
Individual psychotherapy, 60 minutes (53+ minutes).
Per diem - Community psychiatric supportive treatment program. Daily rate for intensive services.
MAT Services Primary code
Aetna: $0.00 Optum: $57.10
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Community psychiatric supportive treatment program. Daily rate for intensive services.
H0047 primary
High
Alcohol and/or other drug abuse services, not otherwise specified
Individual psychotherapy, 60 minutes (53+ minutes).
Per service episode - Alcohol and/or other drug abuse services. Comprehensive substance use treatment.
MAT Services Primary code
Aetna: $0.00 Optum: $1,557.02
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Alcohol and/or other drug abuse services. Comprehensive substance use treatment.
T1024 primary
Moderate
Coordinated specialty care - per diem
Individual psychotherapy, 60 minutes (53+ minutes).
Per diem - Coordinated specialty care - per diem. Daily rate for coordinated specialty care programs.
Care Management Primary code
Aetna: $0.00 Optum: $24.22
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Coordinated specialty care - per diem. Daily rate for coordinated specialty care programs.
Encounter Calculator
Aetna
Optum

No codes added yet

AI Assistant Gemini
Hello! Ask me about CPT codes, billing rules, or MDM levels for PMHNP in Louisiana.