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Co-Occurring Service Array. Psychiatric Evaluation Comprehensive Evaluation Medication Monitoring Medications Clinical Consultation Family Therapy (with or without client present) Individual Therapy Crisis Intervention Case Management . Psychiatric Evaluation CPT Code: 90801.

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co occurring service array
Co-Occurring Service Array
  • Psychiatric Evaluation
  • Comprehensive Evaluation
  • Medication Monitoring
  • Medications
  • Clinical Consultation
  • Family Therapy (with or without client present)
  • Individual Therapy
  • Crisis Intervention
  • Case Management

Aug 7 09

psychiatric evaluation cpt code 90801
Psychiatric EvaluationCPT Code: 90801

Meetings between a psychiatrist and a child, adolescent or adult in which the professional tries to glean information necessary to diagnose an emotional disorder. During this interview the psychiatrist collects enough data about the patient, through input from the substance abuse and/or co-occurring evaluation, previous treatment records and consultation with the treatment team, to develop an initial psychiatric diagnosis and treatment plan, including medication assistance therapy

Who can provide service: see next slide

Aug 7 09

who can provide psychiatric evaluation
Who can providePsychiatric Evaluation
  • MD or DO Certified in Addiction Psychiatry
  • Board Certified Psychiatrist who is a member of ASAM or exp w/addiction;
  • Board Eligible Psychiatrist w/ASAM cert; Board Eligible for Psychiatry w/5 yrs addiction exp & ASAM membership
  • Certified Nurse Practitioner-Psychiatric and Mental Health (CNP-PMH)
  • Advanced Practical Nurse-Psychiatric and Mental Health (APN-PMH)
  • Physician's Assistant (PA) w/Psychiatric and Mental Health certification

Aug 7 09

comprehensive evaluation cpt code 90801 ie
Comprehensive EvaluationCPT Code:90801-IE

The comprehensive intake evaluation includes; a full mental status evaluation, a detailed history of psychiatric symptoms, a review & if necessary expansion of the information collected during the ASI, collection and review of previous treatment records, & the completion of relevant assessment tools such as the Level of Care Utilization System for Psychiatric and Addiction Services (LOCUS) are helpful to clinicians making LOC decisions for the COD client

Who Can Provide the Service?

All clinicians must be licensed or certified to practice as health care professionals & authorized to render diagnoses according to the DSM for both mental health & substance use disorders 

  • Licensed Psychologist, LMFT, LPC, LCSW

Aug 7 09

medication monitoring cpt code 90862
Medication MonitoringCPT Code: 90862

Ongoing assessment, monitoring and review of the effects of a prescribed medication (Medication Assisted Therapy) upon a client. It is as a result of these visits that medications are adjusted, medical tests are ordered, and the client’s response to treatment is evaluated. All Addictions and COD treatment facilities must allow for Medication Assisted Therapy for appropriate clients. These clients may be receiving medications) prescribed by the primary treatment facility, or by another provider

Who can provide service: see next slide

Aug 7 09

who can provide medication monitoring
Who can provide Medication Monitoring
  • Licensed MD or DO
  • Certified Nurse Practitioner - (CNP)
  • Advanced Practical Nurse - (APN)
  • Physician's Assistant - (PA)

Aug 7 09

medications
Medications
  • A unit of service for medications is $1
  • There are $125 units per month allowed
  • We will not approve a medication unit for any given month unless other co-occurring service(s) are also requested
  • We will approve medications for
    • up to three months per client in residential or outpatient
  • We will require providers to keep a copy of the prescription and a copy of the receipt for medication on file

Aug 7 09

clinical consultation cpt code 90887
Clinical Consultation CPT Code 90887

The Consultant meets with an agency’s clinical staff in order to advise, counsel or educates those clinicians regarding the diagnosis, treatment, and management of clients in the care of that organization.

Who can provide service:

Clinical Psychologist, Licensed MD, DO, CNP, APN, PA, Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT)

Aug 7 09

documentation of clinical consultation
Documentation of Clinical Consultation
  • Note in Clients chart
  • Staff present
  • Indication of length of meeting
  • Signed by an approved clinician

Aug 7 09

family therapy with client present
Family Therapy with client present

CPT Code 90846

Treatment provided to a family, with client present, utilizing appropriate therapeutic methods to enable families to resolve problems or situational stress related to or caused by a family member’s addictive illness.

Who can provide service:

Licensed Clinical Psychologist, CNP-MPH, APN-MPH, LMFT, LCSW, LPC

Aug 7 09

family therapy w o client present
Family Therapyw/o client present

CPT Code 90847

Treatment provided to a family, without the client present, utilizing appropriate therapeutic methods to enable families to resolve problems or situational stress related to or caused by a family member’s addictive illness.

Who can provide service:

Licensed Clinical Psychologist, CNP-MPH, APN-MPH, LMFT, LCSW, LPC

Aug 7 09

individual therapy
Individual Therapy

CPT Code 90806

The treatment of an emotional disorder as identified in the DSM through

the use of established psychological techniques and within the framework

of accepted model of therapeutic interventions such as psychodynamic

therapy, behavioral therapy, gestalt therapy and other accepted therapeutic

models. These techniques are designed to increase insight and awareness

into problems and behavior with the goal being relief of symptoms, and

changes in behavior that lead to improved social and vocational functioning,

and personality growth. (50 –minute session)

Who can provide service:

Licensed Clinical Psychologist, CNP-MPH, APN-MPH, LMFT, LCSW, LPC

Aug 7 09

crisis intervention
Crisis Intervention

CPT Code 90804

The provision of emergency psychological care to a client who is experiencing extreme stress. In order for a difficult situation to constitute a crisis, the stressor must be experienced as threatening, and of an intensity/magnitude that can not be managed by the client’s normal coping capacities. The goals of crisis intervention are:(1) Stabilization, i.e. to reduce or relieve mounting distress; (2) Mitigation of acute signs and symptoms of distress; (3) Restoration of the pre-crisis level of functioning; (4) Prevention of the development of maladaptive post-crisis behavior

Who can provide service:

Clinical Psychologist, Licensed MD, DO, CNP, APN, PA, Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT)

Aug 7 09

case management
Case Management

Service Code Z3363

Case Management is the provision of direct and comprehensive assistance to clients in order for those individuals to gain access to all necessary treatment and rehabilitative services. The clinical case manager (CCM) facilitates optimal coordination and integration of these services on behalf of the client. In addition to connecting clients to these resources, the CCM monitors their client’s progress in treatment. The goal of this intervention is to reduce psychiatric and addiction symptoms, and to support the clients’ continuing stability and recovery

Who can provide service:

Client’s primary counselor or staff member designated as CCM for a number of clients. A minimum of bachelor’s degree in helping professions required or LCADC, CADC, and, all others who meet certification and license requirements for co-occurring services as determined by DAS

Aug 7 09