195
Total CPT Codes
171
Primary Codes
24
Add-on Codes
0
In Calculator
Category
Code Type
90869 primary
Moderate
TMS treatment; subsequent motor threshold re-determination
Individual psychotherapy, 60 minutes (53+ minutes).
As clinically indicated - TMS treatment; subsequent motor threshold re-determination. When clinically indicated during treatment course.
Psychiatric Services Primary code
Aetna: $245.84 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:
TMS treatment; subsequent motor threshold re-determination. When clinically indicated during treatment course.
90870 primary
High
ECT, single seizure and multiple seizure per day
Individual psychotherapy, 60 minutes (53+ minutes).
Per treatment session - ECT, single seizure and multiple seizure per day. Requires anesthesia and monitoring.
Psychiatric Services Primary code
Aetna: $176.80 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:
ECT, single seizure and multiple seizure per day. Requires anesthesia and monitoring.
90880 primary
Low
Hypnotherapy
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day - Hypnotherapy. Therapeutic hypnosis for behavioral health conditions. Time-based billing.
Psychiatric Services Primary code
Aetna: $110.92 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:
Hypnotherapy. Therapeutic hypnosis for behavioral health conditions. Time-based billing.
90901 primary
Low
Biofeedback
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day - Biofeedback training. Per session. Requires equipment and trained provider.
Psychiatric Services Primary code
Aetna: $77.25 Optum: $35.14
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:
Biofeedback training. Per session. Requires equipment and trained provider.
96112 primary
Moderate
Developmental test administration; first hour
Individual psychotherapy, 60 minutes (53+ minutes).
Per testing episode - Developmental test administration; first hour. For initial testing session.
Psychological Testing Primary code
Aetna: $158.17 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:
Developmental test administration; first hour. For initial testing session.
96112 primary
Moderate
Developmental test administration; first hour (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
Per testing episode - Developmental test administration; first hour. For initial testing session.
Psychological Testing Primary code
Aetna: $158.17 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:
Developmental test administration; first hour. For initial testing session.
96113 add‑on
N/A
Developmental test administration; each additional hour
Individual psychotherapy, 60 minutes (53+ minutes).
Per additional hour - Developmental test administration; each additional hour. Add-on to 96112.
Psychological Testing Add-on code
Aetna: $70.81 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:
Developmental test administration; each additional hour. Add-on to 96112.
96113 add‑on
N/A
Developmental test administration; each additional hour (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
Per additional hour - Developmental test administration; each additional hour. Add-on to 96112.
Psychological Testing Add-on code
Aetna: $70.81 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:
Developmental test administration; each additional hour. Add-on to 96112.
96116 primary
Moderate
Neurobehavioral Status Exam per hour
Individual psychotherapy, 60 minutes (53+ minutes).
Per hour initial - Neurobehavioral Status Exam with interpretation and report. First hour. Requires physician/QHP interpretation.
Psychological Testing Primary code
Aetna: $112.27 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:
Neurobehavioral Status Exam with interpretation and report. First hour. Requires physician/QHP interpretation.
96116 primary
Moderate
Neurobehavioral Status Exam per hour (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
Per hour initial - Neurobehavioral Status Exam with interpretation and report. First hour. Requires physician/QHP interpretation.
Psychological Testing Primary code
Aetna: $112.27 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:
Neurobehavioral Status Exam with interpretation and report. First hour. Requires physician/QHP interpretation.
96121 add‑on
N/A
Neurobehavioral status exam; each additional hour
Individual psychotherapy, 60 minutes (53+ minutes).
Per additional hour - Neurobehavioral status exam; each additional hour. Add-on to 96116.
Psychological Testing Add-on code
Aetna: $97.66 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:
Neurobehavioral status exam; each additional hour. Add-on to 96116.
96121 add‑on
N/A
Neurobehavioral status exam; each additional hour (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
Per additional hour - Neurobehavioral status exam; each additional hour. Add-on to 96116.
Psychological Testing Add-on code
Aetna: $97.66 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:
Neurobehavioral status exam; each additional hour. Add-on to 96116.
96130 primary
Moderate
Psychological testing evaluation by professional; first hour
Individual psychotherapy, 60 minutes (53+ minutes).
First hour - Psychological testing evaluation services by professional; first hour. Includes interpretation and report.
Psychological Testing Primary code
Aetna: $137.73 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:
Psychological testing evaluation services by professional; first hour. Includes interpretation and report.
96130 primary
Moderate
Psychological testing evaluation by professional; first hour (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
First hour - Psychological testing evaluation services by professional; first hour. Includes interpretation and report.
Psychological Testing Primary code
Aetna: $137.73 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:
Psychological testing evaluation services by professional; first hour. Includes interpretation and report.
96131 add‑on
N/A
Psychological testing evaluation; each additional hour
Individual psychotherapy, 60 minutes (53+ minutes).
Each additional hour - Psychological testing evaluation services; each additional hour. Add-on to 96130.
Psychological Testing Add-on code
Aetna: $106.31 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:
Psychological testing evaluation services; each additional hour. Add-on to 96130.
96131 add‑on
N/A
Psychological testing evaluation; each additional hour (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
Each additional hour - Psychological testing evaluation services; each additional hour. Add-on to 96130.
Psychological Testing Add-on code
Aetna: $106.31 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:
Psychological testing evaluation services; each additional hour. Add-on to 96130.
96132 primary
Moderate
Neuropsychological testing evaluation; first hour
Individual psychotherapy, 60 minutes (53+ minutes).
First hour - Neuropsychological testing evaluation services by professional; first hour. Comprehensive cognitive assessment.
Psychological Testing Primary code
Aetna: $153.18 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:
Neuropsychological testing evaluation services by professional; first hour. Comprehensive cognitive assessment.
96132 primary
Moderate
Neuropsychological testing evaluation; first hour (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
First hour - Neuropsychological testing evaluation services by professional; first hour. Comprehensive cognitive assessment.
Psychological Testing Primary code
Aetna: $153.18 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:
Neuropsychological testing evaluation services by professional; first hour. Comprehensive cognitive assessment.
96133 add‑on
N/A
Neuropsychological testing evaluation; each additional hour
Individual psychotherapy, 60 minutes (53+ minutes).
Each additional hour - Neuropsychological testing evaluation services; each additional hour. Add-on to 96132.
Psychological Testing Add-on code
Aetna: $115.39 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:
Neuropsychological testing evaluation services; each additional hour. Add-on to 96132.
96133 add‑on
N/A
Neuropsychological testing evaluation; each additional hour (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
Each additional hour - Neuropsychological testing evaluation services; each additional hour. Add-on to 96132.
Psychological Testing Add-on code
Aetna: $115.39 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:
Neuropsychological testing evaluation services; each additional hour. Add-on to 96132.
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