Emergency department visit - minimal problem
Individual psychotherapy, 60 minutes (53+ minutes).
Per ED visit
- Emergency department visit - minimal problem. No physician/QHP may be required.
Evaluation & Management
Primary code
Aetna: $51.50
Optum: $10.08
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:
Emergency department visit - minimal problem. No physician/QHP may be required.
Emergency department visit - straightforward MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Per ED visit
- Emergency department visit - straightforward MDM. Minimal complexity ED visit.
Evaluation & Management
Primary code
Aetna: $51.50
Optum: $35.72
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:
Emergency department visit - straightforward MDM. Minimal complexity ED visit.
Emergency department visit - low MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Per ED visit
- Emergency department visit - low MDM. Low complexity ED evaluation.
Evaluation & Management
Primary code
Aetna: $67.73
Optum: $61.35
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:
Emergency department visit - low MDM. Low complexity ED evaluation.
Emergency department visit - moderate MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Per ED visit
- Emergency department visit - moderate MDM. Moderate complexity ED evaluation.
Evaluation & Management
Primary code
Aetna: $124.91
Optum: $103.12
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:
Emergency department visit - moderate MDM. Moderate complexity ED evaluation.
Emergency department visit - high MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Per ED visit
- Emergency department visit - high MDM. High complexity ED evaluation.
Evaluation & Management
Primary code
Aetna: $181.62
Optum: $150.07
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:
Emergency department visit - high MDM. High complexity ED evaluation.
Initial nursing facility care - straightforward/low MDM (25 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per admission
- Initial nursing facility care - straightforward/low MDM. Time: 25 minutes.
Evaluation & Management
Primary code
Aetna: $96.43
Optum: $68.55
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 nursing facility care - straightforward/low MDM. Time: 25 minutes.
Initial nursing facility care - moderate MDM (35 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per admission
- Initial nursing facility care - moderate MDM. Time: 35 minutes.
Evaluation & Management
Primary code
Aetna: $137.48
Optum: $113.49
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 nursing facility care - moderate MDM. Time: 35 minutes.
Initial nursing facility care - high MDM (45 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per admission
- Initial nursing facility care - high MDM. Time: 45 minutes.
Evaluation & Management
Primary code
Aetna: $174.00
Optum: $154.96
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 nursing facility care - high MDM. Time: 45 minutes.
Subsequent nursing facility care - straightforward MDM (10 min)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Subsequent nursing facility care - straightforward MDM. Time: 10 minutes.
Evaluation & Management
Primary code
Aetna: $46.02
Optum: $33.70
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 nursing facility care - straightforward MDM. Time: 10 minutes.
Subsequent nursing facility care - low MDM (15 min)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Subsequent nursing facility care - low MDM. Time: 15 minutes.
Evaluation & Management
Primary code
Aetna: $71.10
Optum: $63.37
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 nursing facility care - low MDM. Time: 15 minutes.
Subsequent nursing facility care - moderate MDM (30 min)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Subsequent nursing facility care - moderate MDM. Time: 30 minutes.
Evaluation & Management
Primary code
Aetna: $93.51
Optum: $90.73
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 nursing facility care - moderate MDM. Time: 30 minutes.
Subsequent nursing facility care - high MDM (45 min)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day
- Subsequent nursing facility care - high MDM. Time: 45 minutes.
Evaluation & Management
Primary code
Aetna: $139.27
Optum: $130.48
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 nursing facility care - high MDM. Time: 45 minutes.
Nursing facility discharge management - 30 min or less
Individual psychotherapy, 60 minutes (53+ minutes).
Per discharge
- Nursing facility discharge management - 30 minutes or less.
Evaluation & Management
Primary code
Aetna: $75.59
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:
Nursing facility discharge management - 30 minutes or less.
Nursing facility discharge management - more than 30 min
Individual psychotherapy, 60 minutes (53+ minutes).
Per discharge
- Nursing facility discharge management - more than 30 minutes.
Evaluation & Management
Primary code
Aetna: $108.36
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:
Nursing facility discharge management - more than 30 minutes.
Annual nursing facility assessment
Individual psychotherapy, 60 minutes (53+ minutes).
Annually
- Annual nursing facility assessment. Comprehensive annual evaluation.
Evaluation & Management
Primary code
Aetna: $99.18
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:
Annual nursing facility assessment. Comprehensive annual evaluation.
Home visit new patient - straightforward MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Evaluation & Management
Primary code
Aetna: $57.61
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
Home visit new patient - low MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Evaluation & Management
Primary code
Aetna: $83.85
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
Home visit new patient - moderate MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Evaluation & Management
Primary code
Aetna: $144.30
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
Home visit new patient - high MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Evaluation & Management
Primary code
Aetna: $192.67
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
Home visit new patient - high MDM comprehensive
Individual psychotherapy, 60 minutes (53+ minutes).
Evaluation & Management
Primary code
Aetna: $223.81
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