Office/OP visit established - low MDM (20-29 min)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Office/OP visit established - low MDM. Time: 20-29 minutes. 2+ stable chronic illnesses.
Evaluation & Management
Primary code
Aetna: $75.28
Optum: $77.20
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:
Office/OP visit established - low MDM. Time: 20-29 minutes. 2+ stable chronic illnesses.
Office/OP visit established - low MDM (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Office/OP visit established - low MDM. Time: 20-29 minutes. 2+ stable chronic illnesses.
Evaluation & Management
Primary code
Aetna: $75.28
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:
Office/OP visit established - low MDM. Time: 20-29 minutes. 2+ stable chronic illnesses.
Office/OP visit established - moderate MDM (30-39 min)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Office/OP visit established - moderate MDM. Time: 30-39 minutes. Chronic illness exacerbation, prescription management.
Evaluation & Management
Primary code
Aetna: $110.60
Optum: $109.17
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:
Office/OP visit established - moderate MDM. Time: 30-39 minutes. Chronic illness exacerbation, prescription management.
Office/OP visit established - moderate MDM (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Office/OP visit established - moderate MDM. Time: 30-39 minutes. Chronic illness exacerbation, prescription management.
Evaluation & Management
Primary code
Aetna: $110.60
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:
Office/OP visit established - moderate MDM. Time: 30-39 minutes. Chronic illness exacerbation, prescription management.
Office/OP visit established - high MDM (40-54 min)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Office/OP visit established - high MDM. Time: 40-54 minutes. Severe exacerbation, hospitalization considered.
Evaluation & Management
Primary code
Aetna: $148.12
Optum: $152.95
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:
Office/OP visit established - high MDM. Time: 40-54 minutes. Severe exacerbation, hospitalization considered.
Office/OP visit established - high MDM (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Office/OP visit established - high MDM. Time: 40-54 minutes. Severe exacerbation, hospitalization considered.
Evaluation & Management
Primary code
Aetna: $148.12
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:
Office/OP visit established - high MDM. Time: 40-54 minutes. Severe exacerbation, hospitalization considered.
Observation care discharge day management
Individual psychotherapy, 60 minutes (53+ minutes).
Per observation episode
- Observation care discharge day management. Final assessment and discharge orders.
Evaluation & Management
Primary code
Aetna: $74.87
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:
Observation care discharge day management. Final assessment and discharge orders.
Initial observation care - straightforward/low MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Per observation episode
- Initial observation care - straightforward/low MDM. Admission to observation status.
Evaluation & Management
Primary code
Aetna: $102.67
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:
Initial observation care - straightforward/low MDM. Admission to observation status.
Initial observation care - moderate MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Per observation episode
- Initial observation care - moderate MDM. Moderate complexity observation admission.
Evaluation & Management
Primary code
Aetna: $140.37
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:
Initial observation care - moderate MDM. Moderate complexity observation admission.
Initial observation care - high MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Per observation episode
- Initial observation care - high MDM. High complexity observation admission.
Evaluation & Management
Primary code
Aetna: $192.15
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:
Initial observation care - high MDM. High complexity observation admission.
Initial hospital care - low MDM (40 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per admission
- Initial hospital care - low MDM. Time: 40 minutes. Stable patient, limited data review.
Evaluation & Management
Primary code
Aetna: $128.75
Optum: $70.86
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:
Initial hospital care - low MDM. Time: 40 minutes. Stable patient, limited data review.
Initial hospital care - moderate MDM (55 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per admission
- Initial hospital care - moderate MDM. Time: 55 minutes. Multiple comorbidities, prescription management.
Evaluation & Management
Primary code
Aetna: $143.23
Optum: $110.90
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:
Initial hospital care - moderate MDM. Time: 55 minutes. Multiple comorbidities, prescription management.
Initial hospital care - high MDM (75 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per admission
- Initial hospital care - high MDM. Time: 75 minutes. Unstable patient, severe illness.
Evaluation & Management
Primary code
Aetna: $210.78
Optum: $147.76
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:
Initial hospital care - high MDM. Time: 75 minutes. Unstable patient, severe illness.
Subsequent observation care - straightforward/low MDM
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Subsequent observation care - straightforward/low MDM. Daily observation follow-up.
Evaluation & Management
Primary code
Aetna: $41.45
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:
Subsequent observation care - straightforward/low MDM. Daily observation follow-up.
Subsequent observation care - straightforward/low MDM
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Subsequent observation care - straightforward/low MDM. Daily observation follow-up.
Evaluation & Management
Primary code
Aetna: $41.45
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:
Subsequent observation care - straightforward/low MDM. Daily observation follow-up.
Subsequent observation care - moderate MDM
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Subsequent observation care - moderate MDM. Moderate complexity observation follow-up.
Evaluation & Management
Primary code
Aetna: $74.88
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:
Subsequent observation care - moderate MDM. Moderate complexity observation follow-up.
Subsequent observation care - high MDM
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Subsequent observation care - high MDM. High complexity observation follow-up.
Evaluation & Management
Primary code
Aetna: $108.14
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:
Subsequent observation care - high MDM. High complexity observation follow-up.
Subsequent hospital care - low MDM (25 min)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Subsequent hospital care - low MDM. Time: 25 minutes. Stable, recovering as expected.
Evaluation & Management
Primary code
Aetna: $82.40
Optum: $42.34
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:
Subsequent hospital care - low MDM. Time: 25 minutes. Stable, recovering as expected.
Subsequent hospital care - moderate MDM (35 min)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Subsequent hospital care - moderate MDM. Time: 35 minutes. New finding, medication adjustment.
Evaluation & Management
Primary code
Aetna: $82.40
Optum: $67.41
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:
Subsequent hospital care - moderate MDM. Time: 35 minutes. New finding, medication adjustment.
Subsequent hospital care - high MDM (50 min)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Subsequent hospital care - high MDM. Time: 50 minutes. Unstable, significant complication.
Evaluation & Management
Primary code
Aetna: $107.42
Optum: $101.39
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:
Subsequent hospital care - high MDM. Time: 50 minutes. Unstable, significant complication.