Home visit established - straightforward MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Evaluation & Management
Primary code
Aetna: $62.72
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 established - low MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Evaluation & Management
Primary code
Aetna: $98.11
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 established - moderate MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Evaluation & Management
Primary code
Aetna: $138.26
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
Home visit established - high MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Evaluation & Management
Primary code
Aetna: $199.70
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 - straightforward MDM (15 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per home visit episode
- Home visit new patient - straightforward MDM. Time: 15 minutes.
Evaluation & Management
Primary code
Aetna: $57.25
Optum: $41.48
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:
Home visit new patient - straightforward MDM. Time: 15 minutes.
Home visit new patient - low MDM (30 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per home visit episode
- Home visit new patient - low MDM. Time: 30 minutes.
Evaluation & Management
Primary code
Aetna: $82.83
Optum: $66.25
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:
Home visit new patient - low MDM. Time: 30 minutes.
Home visit new patient - moderate MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Evaluation & Management
Primary code
Aetna: $135.31
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
Home visit new patient - high MDM
Individual psychotherapy, 60 minutes (53+ minutes).
Evaluation & Management
Primary code
Aetna: $188.63
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: $227.38
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 established - straightforward MDM (20 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per home visit episode
- Home visit established - straightforward MDM. Time: 20 minutes.
Evaluation & Management
Primary code
Aetna: $57.60
Optum: $38.02
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:
Home visit established - straightforward MDM. Time: 20 minutes.
Home visit established - low MDM (30 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per home visit episode
- Home visit established - low MDM. Time: 30 minutes.
Evaluation & Management
Primary code
Aetna: $87.14
Optum: $64.81
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:
Home visit established - low MDM. Time: 30 minutes.
Home visit established - moderate MDM (40 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per home visit episode
- Home visit established - moderate MDM. Time: 40 minutes.
Evaluation & Management
Primary code
Aetna: $131.65
Optum: $108.59
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:
Home visit established - moderate MDM. Time: 40 minutes.
Home visit established - high MDM (60 min)
Individual psychotherapy, 60 minutes (53+ minutes).
Per home visit episode
- Home visit established - high MDM. Time: 60 minutes. Comprehensive home assessment.
Evaluation & Management
Primary code
Aetna: $183.86
Optum: $158.42
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:
Home visit established - high MDM. Time: 60 minutes. Comprehensive home assessment.
Alcohol/SA screening & brief intervention 15-30 min
Individual psychotherapy, 60 minutes (53+ minutes).
1 per screening episode
- Alcohol/SA screening & brief intervention 15-30 minutes. Structured screening tool required.
Care Management
Primary code
Aetna: $36.92
Optum: $29.67
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/SA screening & brief intervention 15-30 minutes. Structured screening tool required.
Alcohol/SA screening & brief intervention (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per screening episode
- Alcohol/SA screening & brief intervention 15-30 minutes. Structured screening tool required.
Care Management
Primary code
Aetna: $36.92
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:
Alcohol/SA screening & brief intervention 15-30 minutes. Structured screening tool required.
Alcohol/SA screening & brief intervention >30 min
Individual psychotherapy, 60 minutes (53+ minutes).
1 per intervention episode
- Alcohol/SA screening & brief intervention >30 minutes. Extended intervention with motivational interviewing.
Care Management
Primary code
Aetna: $71.96
Optum: $56.75
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:
Alcohol/SA screening & brief intervention >30 minutes. Extended intervention with motivational interviewing.
Alcohol/SA screening & brief intervention >30 min (Non-Office)
Individual psychotherapy, 60 minutes (53+ minutes).
1 per intervention episode
- Alcohol/SA screening & brief intervention >30 minutes. Extended intervention with motivational interviewing.
Care Management
Primary code
Aetna: $71.96
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:
Alcohol/SA screening & brief intervention >30 minutes. Extended intervention with motivational interviewing.
Prolonged clinical staff service first hour
Individual psychotherapy, 60 minutes (53+ minutes).
Add-on per hour
- Prolonged clinical staff service first hour. Direct patient contact with physician supervision.
Prolonged Services
Primary code
Aetna: $0.00
Optum: $16.13
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:
Prolonged clinical staff service first hour. Direct patient contact with physician supervision.
Prolonged clinical staff service each additional 30 min
Individual psychotherapy, 60 minutes (53+ minutes).
Add-on per 30 minutes
- Prolonged clinical staff service each additional 30 minutes. Add-on to 99415.
Prolonged Services
Add-on code
Aetna: $0.00
Optum: $7.49
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:
Prolonged clinical staff service each additional 30 minutes. Add-on to 99415.
Prolonged outpatient E/M service each 15 min
Individual psychotherapy, 60 minutes (53+ minutes).
Add-on per 15 minutes
- Prolonged outpatient E/M service each 15 minutes. Beyond primary service time.
Prolonged Services
Primary code
Aetna: $0.00
Optum: $26.50
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:
Prolonged outpatient E/M service each 15 minutes. Beyond primary service time.