Billable Procedure by Allowed Discipline

USE CONTROL (Ctrl) + ( F ) TO SEARCH TABLE

 

A GUIDE TO PROCEDURE CODES
FOR CLAIMING MENTAL HEALTH SERVICES

Procedure Code (Submitted through MSO) Roll Up Code (Medi-Cal) Inactivate Service Code Service Code Label/Descriptor Type Of Service (Individual or Group) Mode of Service Mode/SFC Code Discipline(s) Contract Providers (CP)
90837 H2015:HE N Psychotherapy 53+ Min FF I 18 42 1&2&3&4&5&6&7&8&18 CP
90839 H2015:HE N Psychotherapy for Crisis I 18 42 1&2&3&4&5&6&7&8&18 CP
90847 H2015:HE N Family Therapy with Client I 18 42 1&2&3&4&5&6&7&8&18 CP
90849 H2015:HE N Group Therapy – Multi Family G 18 52 1&2&3&4&5&6&7&8&18 CP
90853 H2015:HE N Group Therapy G 18 52 1&2&3&4&5&6&7&8&18 CP
90885 H0032:HE N Record Review I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90887 H2015:HE N Collateral I 18 10 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90889 H2017:HE N Report Writing I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
96101 H2015:HE N Psych Test by psych or psychol I 18 34 1&4 CP
96102 H2015:HE N Psych Test by technician I 18 34 1&4 CP
96103 H2015:HE N Psych Test by computer I 18 34 1&4 CP
96105 H2015:HE N Psych Test Aphasia-QHCP, Admin by Computer I 18 34 1&4 CP
96110 H2015:HE N Psych Test Developmental, Limited I 18 34 1&4 CP
96111 H2015:HE N Psych Test Developmental, Extended I 18 34 1&4 CP
96116 H2015:HE N Psych Test Neurobehavioral Status I 18 34 1&4 CP
96118 H2015:HE N Psych Test Neuropsych Licensed Psych/MD I 18 34 1&4 CP
96119 H2015:HE N Psych Test Neuropsych-QHCP I 18 34 1&4 CP
96120 H2015:HE N Psych Test Neuropsych-QHCP, Admin by Computer I 18 34 1&4 CP
96125 H2015:HE N Psych Test Standardized Cognitive Performance I 18 34 1&4 CP
96372 H2010:HE N Injection – Intramuscular I 18 62 1&2&3&7&8&9&10&14&15 CP
99201 H2010:HE N E&M New Client  Minor Sev I 18 62 1&2&3 CP
99202 H2010:HE N E&M New Client  Low/Mod Sev I 18 62 1&2&3 CP
99203 H2010:HE N E&M New Client  Mod Sev I 18 62 1&2&3 CP
99204 H2010:HE N E&M New Client  Mod/High Sev I 18 62 1&2&3 CP
99205 H2010:HE N E&M New Client  Mod/High Sev/Complex I 18 62 1&2&3 CP
99212 H2010:HE N E&M Estab Client  Low/Mod Sev I 18 62 1&2&3 CP
99213 H2010:HE N E&M Estab Client  Mod Sev I 18 62 1&2&3 CP
99214 H2010:HE N E&M Estab Client  Mod/High Sev I 18 62 1&2&3 CP
99215 H2010:HE N E&M Estab Client  Mod/High Sev/Complex I 18 62 1&2&3 CP
99341 H2010:HE N E&M New Client Home Low Sev I 18 62 1&2&3 CP
99342 H2010:HE N E&M New Client Home Mod Sev I 18 62 1&2&3 CP
99343 H2010:HE N E&M New Client Home Mod/High Sev I 18 62 1&2&3 CP
99344 H2010:HE N E&M New Client Home High Sev I 18 62 1&2&3 CP
99345 H2010:HE N E&M New Client Home Unstable/Complex I 18 62 1&2&3 CP
99347 H2010:HE N E&M Estab Client Home Low Sev I 18 62 1&2&3 CP
99348 H2010:HE N E&M Estab Client Home Mod Sev I 18 62 1&2&3 CP
99349 H2010:HE N E&M Estab Client Home Mod/High Sev I 18 62 1&2&3 CP
99350 H2010:HE N E&M Estab Client Home High Sev I 18 62 1&2&3 CP
200 NA N COS – Mental Health Promotion I 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&16&18 CP
200:SC NA N COS – Promotion Phone I 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&16&18 CP
231 NA N COS – Community Client I 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&16&18 CP
231:SC NA N COS – Community Client Phone I 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&16&18 CP
6000 NA N Case Management Support I 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&16&18 CP
9032 H2015:HE N Psychotherapy 16-37 Min FF I 18 42 1&2&3&4&5&6&7&8&18 CP
90791 H2015:HE N Assessment – Psych Diag Int I 18 42 1&3&4&5&6&8&9&18 CP
90791:59 H2015:HE:59 N Assessment – Psych Diag Int Dup59 I 18 42 1&3&4&5&6&8&9&18 CP
90791:76 H2015:HE:76 N Assessment – Psych Diag Int Dup76 I 18 42 1&3&4&5&6&8&9&18 CP
90791:GT H2015:HE:GT N Assessment – Psych Diag Int-TelePsy I 18 42 1&3&4&5&6&8&9&18 CP
90791:GT:59 H2015:GT:59 N Assessment – Psych Diag Int-TelePsy Dup59 I 18 42 1&3&4&5&6&8&9&18 CP
90791:GT:76 H2015:GT:76 N Assessment – Psych Diag Int-TelePsy Dup76 I 18 42 1&3&4&5&6&8&9&18 CP
90791:HX NA N Assessment – Psych Diag Int (Non Medi-Cal) I 18 44 1&3&4&5&6&8&9&18 CP
90792 H2015:HE N Assessment – Psych Diag Int w/Medical I 18 42 1&3 CP
90792:59 H2015:HE:59 N Assessment – Psych Diag Int w/Med Dup59 I 18 42 1&3&4&5&6&8&9&18 CP
90792:76 H2015:HE:76 N Assessment – Psych Diag Int w/Medical Dup76 I 18 42 1&3 CP
90792:GT H2015:HE:GT N Assessment – Psych Diag Int w/MedTelePsy I 18 42 1&3&4&5&6&8&9&18 CP
90792:GT:59 H2015:GT:59 N Assessment – Psych Diag Int w/MediTele59 I 18 42 1&3&4&5&6&8&9&18 CP
90792:GT:76 H2015:GT:76 N Assessment – Psych Diag Int w/MediTele76 I 18 42 1&3&4&5&6&8&9&18 CP
90792:HX NA N Assessment – Psych Diag Int w/Med (Non Medi-Cal) I 18 44 1&3&4&5&6&8&9&18 CP
90832:59 H2015:HE:59 N Psychotherapy 16-37 Min FF Dup59 I 18 57 1&2&3&4&5&6&7&8&18 CP
90832:76 H2015:HE:76 N Psychotherapy 16-37 Min FF Dup76 I 18 07 1&2&3&4&5&6&7&8&18 CP
90832:GT H2015:GT N Psychotherapy 16-37 Min FF TelePsy I 18 42 1&2&3&4&5&6&7&8&18 CP
90832:GT:59 H2015:GT:59 N Psychotherapy 16-37 Min FF TelePsy  Dup59 I 18 42 1&2&3&4&5&6&7&8&18 CP
90832:GT:76 H2015:GT:76 N Psychotherapy 16-37 Min FF TelePsy Dup76 I 18 42 1&2&3&4&5&6&7&8&18 CP
90832:HX NA Psychotherapy 16-37 Min FF (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&18 CP
90834 H2015:HE N Psychotherapy 38-52 Min FF I 18 42 1&2&3&4&5&6&7&8&18 CP
90834:59 H2015:HE:59 N Psychotherapy 38-52 Min FF Dup59 I 18 42 1&2&3&4&5&6&7&8&18 CP
90834:76 H2015:HE:76 N Psychotherapy 38-52 Min FF Dup76 I 18 42 1&2&3&4&5&6&7&8&18 CP
90834:GT H2015:GT N Psychotherapy 38-52 Min FF TelePsy I 18 42 1&2&3&4&5&6&7&8&18 CP
90834:GT:59 H2015:GT:59 N Psychotherapy 38-52 Min FF TelePsy Dup59 I 18 42 1&2&3&4&5&6&7&8&18 CP
90834:GT:76 H2015:GT:76 N Psychotherapy 38-52 Min FF TelePsy Dup76 I 18 42 1&2&3&4&5&6&7&8&18 CP
90834:HX NA Psychotherapy 38-52 Min FF (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&18 CP
90837:59 H2015:HE:59 N Psychotherapy 53+ Min FF Dup59 I 18 42 1&2&3&4&5&6&7&8&18 CP
90837:76 H2015:HE:76 N Psychotherapy 53+ Min FF Dup76 I 18 42 1&2&3&4&5&6&7&8&18 CP
90837:GT H2015:GT N Psychotherapy 53+ Min FF TelePsy I 18 42 1&2&3&4&5&6&7&8&18 CP
90837:GT:59 H2015:GT:59 N Psychotherapy 53+ Min FF TelePsy Dup59 I 18 42 1&2&3&4&5&6&7&8&18 CP
90837:GT:76 H2015:GT:76 N Psychotherapy 53+ Min FF TelePsy Dup76 I 18 42 1&2&3&4&5&6&7&8&18 CP
90837:HX NA Psychotherapy 53+ Min FF (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&18 CP
90839:59 H2015:HE:59 N Psychotherapy for Crisis Dup59 I 18 42 1&2&3&4&5&6&7&8&18 CP
90839:76 H2015:HE:76 N Psychotherapy for Crisis Dup76 I 18 42 1&2&3&4&5&6&7&8&18 CP
90839:GT H2015:GT N Psychotherapy for Crisis TelePsy I 18 42 1&2&3&4&5&6&7&8&18 CP
90839:GT:59 H2015:GT:59 N Psychotherapy for Crisis TelePsy Dup59 I 18 42 1&2&3&4&5&6&7&8&18 CP
90839:GT:76 H2015:GT:76 N Psychotherapy for Crisis TelePsy Dup76 I 18 42 1&2&3&4&5&6&7&8&18 CP
90839:HX NA Psychotherapy for Crisis (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&18 CP
90847:59 H2015:HE:59 N Family Therapy with Client Dup59 I 18 42 1&2&3&4&5&6&7&8&18 CP
90847:76 H2015:HE:76 N Family Therapy with Client Dup76 I 18 42 1&2&3&4&5&6&7&8&18 CP
90847:HE:HQ H2015:HE N Group Family Therapy with Client G 18 52 1&2&3&4&5&6&7&8&18 CP
90847:HE:HQ:5 H2015:HE:59 N Group Family Therapy with Client Dup59 G 18 52 1&2&3&4&5&6&7&8&18 CP
90847:HE:HQ:HX NA N Group Family Therapy (Non Medi-Cal) G 18 44 1&2&3&4&5&6&7&8&18 CP
90847:HE:HQ7 H2015:HE:76 N Group Family Therapy with Client Dup76 G 18 52 1&2&3&4&5&6&7&8&18 CP
90847:HX NA N Family Therapy (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&18 CP
90849:59 H2015:HE:59 N Group Therapy – Multi Family Dup59 G 18 52 1&2&3&4&5&6&7&8&18 CP
90849:76 H2015:HE:76 N Group Therapy – Multi Family Dup76 G 18 52 1&2&3&4&5&6&7&8&18 CP
90849:HX NA N Group Therapy – Multi Family (Non Medi-Cal) G 18 44 1&2&3&4&5&6&7&8&18 CP
90853:59 H2015:HE:59 N Group Therapy Dup59 G 18 52 1&2&3&4&5&6&7&8&18 CP
90853:76 H2015:HE:76 N Group Therapy Dup76 G 18 52 1&2&3&4&5&6&7&8&18 CP
90853:HX NA N Group Therapy (Non Medi-Cal) G 18 44 1&2&3&4&5&6&7&8&18 CP
90885:59 H0032:HE:59 N Record Review  Dup59 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90885:76 H0032:HE:76 N Record Review Dup76 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90885:HX NA Record Review (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
90887:59 H2015:HE:59 N Collateral Dup59 I 18 10 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90887:76 H2015:HE:76 N Collateral Dup76 Dup76 I 18 10 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90887:HE:HQ H2015:HE N Group Collateral G 18 10 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90887:HE:HQ:59 H2015:HE:59 N Group Collateral Dup59 G 18 10 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90887:HE:HQ:76 H2015:HE:76 N Group Collateral Dup76 G 18 10 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90887:HX NA Collateral (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
90887:SC H2015:HE:SC N Collateral Phone I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90887:SC:59 H2015:HE:SC:59 N Collateral Phone Dup59 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90887:SC:76 H2015:HE:SC:76 N Collateral Phone Dup76 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90889:59 H2017:HE:59 N No Contact – Report Writing Duplicate (Procedural Service) I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90889:76 H2017:HE:76 N No Contact – Report Writing Duplicate (Repeat Procedure) Duplicate (Repeat Procedure) I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
90889:HX NA Report Writing (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
96101:59 H2015:HE:59 N Psych Test by psych or psychol Dup59 I 18 34 1&4 CP
96101:76 H2015:HE:76 N Psych Test by psych or psychol Dup76 I 18 34 1&4 CP
96101:HX NA Psych Test by MD or PhD (Non Medi-Cal) I 18 44 1&4 CP
96102:59 H2015:HE:59 N Psych Test by technician Dup59 I 18 34 1&4 CP
96102:76 H2015:HE:76 N Psych Test by technician Dup76 I 18 34 1&4 CP
96102:HX NA Psych Test by technician (Non Medi-Cal) I 18 44 1&4 CP
96103:59 H2015:HE:59 N Psych Test by computer Dup59 I 18 34 1&4 CP
96103:76 H2015:HE:76 N Psych Test by computer Dup76 I 18 34 1&4 CP
96103:HX NA Psych Test by computer (Non Medi-Cal) I 18 44 1&4 CP
96105:59 H2015:HE:59 N Psych Test Aphasia-QHCP, Admin by Computer Dup59 I 18 34 1&4 CP
96105:76 H2015:HE:76 N Psych Test Aphasia-QHCP, Admin by Computer Dup76 I 18 34 1&4 CP
96105:HX NA Psych Test Asses Aphasia-QHCP,Cmptr Admn  (Non Medi-Cal) I 18 44 1&4 CP
96110:59 H2015:HE:59 N Psych Test Developmental, Limited Dup59 I 18 34 1&4 CP
96110:76 H2015:HE:76 N Psych Test Developmental, Limited Dup76 I 18 34 1&4 CP
96110:HX NA Psych Test Develmental, Limited (Non Medi-Cal) I 18 44 1&4 CP
96111:59 H2015:HE:59 N Psych Test Developmental, Extended Dup59 I 18 34 1&4 CP
96111:76 H2015:HE:76 N Psych Test Developmental, Extended Dup76 I 18 34 1&4 CP
96111:HX NA Psych Test Developmental, Extended (Non Medi-Cal) I 18 44 1&4 CP
96116:59 H2015:HE:59 N Psych Test Neurobehavioral Status Dup59 I 18 34 1&4 CP
96116:76 H2015:HE:76 N Psych Test Neurobehavioral Status Dup76 I 18 34 1&4 CP
96116:HX NA Psych Test Neurobehavioral Status (Non Medi-Cal) I 18 44 1&4 CP
96118:59 H2015:HE:59 N Psych Test Neuropsych Licensed Psych/MD Dup59 I 18 34 1&4 CP
96118:76 H2015:HE:76 N Psych Test Neuropsych Licensed Psych/MD Dup76 I 18 34 1&4 CP
96118:HX NA Psych Test Neuropsych Licensed Psych/MD (Non Medi-Cal) I 18 44 1&4 CP
96119:59 H2015:HE:59 N Psych Test Neuropsych-QHCPDup59 I 18 34 1&4 CP
96119:76 H2015:HE:76 N Psych Test Neuropsych-QHCPDup76 I 18 34 1&4 CP
96119:HX NA Psych Test Neuropsych-QHCP (Non Medi-Cal) I 18 44 1&4 CP
96120:59 H2015:HE:59 N Psych Test Neuropsych-QHCP, Admin by ComputerDup59 I 18 34 1&4 CP
96120:76 H2015:HE:76 N Psych Test Neuropsych-QHCP, Admin by ComputerDup76 I 18 34 1&4 CP
96120:HX NA Psych Test Neuropsych-QHCP, Admin by Computer (Non Medi-Cal) I 18 44 1&4 CP
96125:HX NA Psych Test Standardized Cog Performance Test (Non Medi-Cal) I 18 44 1&4 CP
96372:59 H2010:HE:59 N Injection – Intramuscular Dup59 I 18 62 1&2&3&7&8&9&10&14&15 CP
96372:76 H2010:HE:76 N Injection – Intramuscular Dup76 I 18 62 1&2&3&7&8&9&10&14&15 CP
99201:59 H2010:HE:59 N E&M New Client  Minor Sev Dup59 I 18 62 1&2&3 CP
99201:76 H2010:HE:76 N E&M New Client  Minor Sev Dup76 I 18 62 1&2&3 CP
99201:GT H2010:HE:GT N E&M New Client Minor Sev TelePsy I 18 62 1&2&3 CP
99201:GT:59 H2010:HE:GT:59 N E&M New Client Minor Sev TelePsy Dup59 I 18 62 1&2&3 CP
99201:HX NA N E&M New Client Minor Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99201GT:76 H2010:HE:GT:76 N E&M New Client Minor Sev TelePsy Dup76 I 18 62 1&2&3 CP
99202:59 H2010:HE:59 N E&M New Client  Low/Mod Sev Dup59 I 18 62 1&2&3 CP
99202:76 H2010:HE:76 N E&M New Client  Low/Mod Sev Dup76 I 18 62 1&2&3 CP
99202:GT H2010:HE:GT N E&M New Client Low/Mod Sev TelePsy I 18 62 1&2&3 CP
99202:GT:59 H2010:HE:GT:59 N E&M New Client Low/Mod Sev TelePsy Dup59 I 18 62 1&2&3 CP
99202:GT:76 H2010:HE:GT:76 N E&M New Client Low/Mod Sev TelePsy Dup76 I 18 62 1&2&3 CP
99202:HX NA N E&M New Client Low/Mod Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99203:59 H2010:HE:59 N E&M New Client  Mod Sev Dup59 I 18 62 1&2&3 CP
99203:76 H2010:HE:76 N E&M New Client  Mod Sev Dup76 I 18 62 1&2&3 CP
99203:GT H2010:HE:GT N E&M New Client Mod Sev TelePsy I 18 62 1&2&3 CP
99203:GT:59 H2010:HE:GT:59 N E&M New Client Mod Sev TelePsy Dup59 I 18 62 1&2&3 CP
99203:GT:76 H2010:HE:GT:76 N E&M New Client Mod Sev TelePsy Dup76 I 18 62 1&2&3 CP
99203:HX NA N E&M New Client Mod Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99204:59 H2010:HE:59 N E&M New Client  Mod/High Sev Dup59 I 18 62 1&2&3 CP
99204:76 H2010:HE:76 N E&M New Client  Mod/High Sev Dup76 I 18 62 1&2&3 CP
99204:GT H2010:HE:GT N E&M New Client Mod/High Sev TelePsy I 18 62 1&2&3 CP
99204:GT:59 H2010:HE:GT:59 N E&M New Client Mod/High Sev TelePsy Dup59 I 18 62 1&2&3 CP
99204:GT:76 H2010:HE:GT:76 N E&M New Client Mod/High Sev TelePsy Dup76 I 18 62 1&2&3 CP
99204:HX NA N E&M New Client Mod/High Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99205:59 H2010:HE:59 N E&M New Client  Mod/High Sev/Complex Dup59 I 18 62 1&2&3 CP
99205:76 H2010:HE:76 N E&M New Client  Mod/High Sev/Complex Dup76 I 18 62 1&2&3 CP
99205:GT H2010:HE:GT N E&M New Client Mod/High Sev/Complex TelePsy I 18 62 1&2&3 CP
99205:GT:59 H2010:HE:GT:59 N E&M New Client Mod/High Sev/Complex TelePsy Dup59 I 18 62 1&2&3 CP
99205:GT:76 H2010:HE:GT:76 N E&M New Client Mod/High Sev/Complex TelePsy Dup76 I 18 62 1&2&3 CP
99205:HX NA N E&M New Client Mod/High Sev/Complex (Non Medi-Cal) I 18 63 1&2&3 CP
99212:59 H2010:HE:59 N E&M Estab Client  Low/Mod Sev Dup59 I 18 62 1&2&3 CP
99212:76 H2010:HE:76 N E&M Estab Client  Low/Mod Sev Dup76 I 18 62 1&2&3 CP
99212:GT H2010:HE:GT N E&M Estab Client Low/Mod Sev TelePsy I 18 62 1&2&3 CP
99212:GT:59 H2010:HE:GT:59 N E&M Estab Client Low/Mod Sev TelePsy Dup59 I 18 62 1&2&3 CP
99212:GT:76 H2010:HE:GT:76 N E&M Estab Client Low/Mod Sev TelePsy Dup76 I 18 62 1&2&3 CP
99212:HX NA E&M Estab Client Low/Mod Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99213:59 H2010:HE:59 N E&M Estab Client  Mod Sev Dup59 I 18 62 1&2&3 CP
99213:76 H2010:HE:76 N E&M Estab Client  Mod Sev Dup76 I 18 62 1&2&3 CP
99213:GT H2010:HE:GT N E&M Estab Client Mod Sev TelePsy I 18 62 1&2&3 CP
99213:GT:59 H2010:HE:GT:59 N E&M Estab Client Mod Sev TelePsy Dup59 I 18 62 1&2&3 CP
99213:GT:76 H2010:HE:GT:76 N E&M Estab Client Mod Sev TelePsy Dup76 I 18 62 1&2&3 CP
99213:HX NA E&M Estab Client Mod Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99214:59 H2010:HE:59 N E&M Estab Client  Mod/High Sev Dup59 I 18 62 1&2&3 CP
99214:76 H2010:HE:76 N E&M Estab Client  Mod/High Sev Dup76 I 18 62 1&2&3 CP
99214:GT H2010:HE:GT N E&M Estab Client Mod/High Sev TelePsy I 18 62 1&2&3 CP
99214:GT:59 H2010:HE:GT:59 N E&M Estab Client Mod/High Sev TelePsy Dup59 I 18 62 1&2&3 CP
99214:GT:76 H2010:HE:GT:76 N E&M Estab Client Mod/High Sev TelePsy Dup76 I 18 62 1&2&3 CP
99214:HX NA E&M Estab Client Mod/High Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99215:59 H2010:HE:59 N E&M Estab Client  Mod/High Sev/Complex Dup59 I 18 62 1&2&3 CP
99215:76 H2010:HE:76 N E&M Estab Client  Mod/High Sev/Complex Dup76 I 18 62 1&2&3 CP
99215:GT H2010:HE:GT N E&M Estab Client Mod/High Sev/Complex TelePsy I 18 62 1&2&3 CP
99215:GT:59 H2010:HE:GT:59 N E&M Estab Client Mod/High Sev/Complex TelePsy Dup59 I 18 62 1&2&3 CP
99215:GT:76 H2010:HE:GT:76 N E&M Estab Client Mod/High Sev/Complex TelePsy Dup76 I 18 62 1&2&3 CP
99215:HX NA E&M Estab Client Mod/High Sev/Complex (Non Medi-Cal) I 18 63 1&2&3 CP
99341:59 H2010:HE:59 N E&M New Client Home Low Sev Dup59 I 18 62 1&2&3 CP
99341:76 H2010:HE:76 N E&M New Client Home Low Sev Dup76 I 18 62 1&2&3 CP
99341:GT H2010:HE:GT N E&M New Client Home Low Sev TelePsy I 18 62 1&2&3 CP
99341:GT:59 H2010:HE:GT:59 N E&M New Client Home Low Sev TelePsy Dup59 I 18 62 1&2&3 CP
99341:GT:76 H2010:HE:GT:76 N E&M New Client Home Low Sev TelePsy Dup76 I 18 62 1&2&3 CP
99341:HX NA E&M New Client Home Low Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99342:59 H2010:HE:59 N E&M New Client Home Mod Sev Dup59 I 18 62 1&2&3 CP
99342:76 H2010:HE:76 N E&M New Client Home Mod Sev Dup76 I 18 62 1&2&3 CP
99342:GT H2010:HE:GT N E&M New Client Home Mod Sev TelePsy I 18 62 1&2&3 CP
99342:GT:59 H2010:HE:GT:59 N E&M New Client Home Mod Sev TelePsy Dup59 I 18 62 1&2&3 CP
99342:GT:76 H2010:HE:GT:76 N E&M New Client Home Mod Sev TelePsy Dup76 I 18 62 1&2&3 CP
99342:HX NA E&M New Client Home Mod Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99343:59 H2010:HE:59 N E&M New Client Home Mod/High Sev Dup59 I 18 62 1&2&3 CP
99343:76 H2010:HE:76 N E&M New Client Home Mod/High Sev Dup76 I 18 62 1&2&3 CP
99343:GT H2010:HE:GT N E&M New Client Home Mod/High Sev TelePsy I 18 62 1&2&3 CP
99343:GT:59 H2010:HE:GT:59 N E&M New Client Home Mod/High Sev TelePsy Dup59 I 18 62 1&2&3 CP
99343:GT:76 H2010:HE:GT:76 N E&M New Client Home Mod/High Sev TelePsyDup76 I 18 62 1&2&3 CP
99343:HX NA N E&M New Client Home Mod/High Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99344:59 H2010:HE:59 N E&M New Client Home High Sev Dup59 I 18 62 1&2&3 CP
99344:76 H2010:HE:76 N E&M New Client Home High Sev Dup76 I 18 62 1&2&3 CP
99344:GT H2010:HE:GT N E&M New Client Home High Sev TelePsy I 18 62 1&2&3 CP
99344:GT:59 H2010:HE:GT:59 N E&M New Client Home High Sev TelePsyDup59 I 18 62 1&2&3 CP
99344:GT:76 H2010:HE:GT:76 N E&M New Client Home High Sev TelePsy Dup76 I 18 62 1&2&3 CP
99344:HX NA E&M New Client Home High Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99345:59 H2010:HE:59 N E&M New Client Home Unstable/Complex Dup59 I 18 62 1&2&3 CP
99345:76 H2010:HE:76 N E&M New Client Home Unstable/Complex Dup76 I 18 62 1&2&3 CP
99345:GT H2010:HE:GT N E&M New Client Home Unstable/Complex TelePsy I 18 62 1&2&3 CP
99345:GT:59 H2010:HE:GT:59 N E&M New Client Home Unstable/Complex TelePsy Dup59 I 18 62 1&2&3 CP
99345:GT:76 H2010:HE:GT:76 N E&M New Client Home Unstable/Complex TelePsy Dup76 I 18 62 1&2&3 CP
99345:HX NA N E&M New Client Home Unstable/Complex (Non Medi-Cal) I 18 63 1&2&3 CP
99347:59 H2010:HE:59 N E&M Estab Client Home Low Sev Dup59 I 18 62 1&2&3 CP
99347:76 H2010:HE:76 N E&M Estab Client Home Low Sev Dup76 I 18 62 1&2&3 CP
99347:GT H2010:HE:GT N E&M Estab Client Home Low Sev TelePsy I 18 62 1&2&3 CP
99347:GT:59 H2010:HE:GT:59 N E&M Estab Client Home Low Sev TelePsy Dup59 I 18 62 1&2&3 CP
99347:GT:76 H2010:HE:GT:76 N E&M Estab Client Home Low Sev TelePsy Dup76 I 18 62 1&2&3 CP
99347:HX NA E&M Estab Client Home Low Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99348:59 H2010:HE:59 N E&M Estab Client Home Mod Sev Dup59 I 18 62 1&2&3 CP
99348:76 H2010:HE:76 N E&M Estab Client Home Mod Sev Dup76 I 18 62 1&2&3 CP
99348:GT H2010:HE:GT N E&M Estab Client Home Mod Sev TelePsy I 18 62 1&2&3 CP
99348:GT:59 H2010:HE:GT:59 N E&M Estab Client Home Mod Sev TelePsy Dup59 I 18 62 1&2&3 CP
99348:GT:76 H2010:HE:GT:76 N E&M Estab Client Home Mod Sev TelePsy Dup76 I 18 62 1&2&3 CP
99348:HX NA E&M Estab Client Home Mod Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99349:59 H2010:HE:59 N E&M Estab Client Home Mod/High Sev Dup59 I 18 62 1&2&3 CP
99349:76 H2010:HE:76 N E&M Estab Client Home Mod/High Sev Dup76 I 18 62 1&2&3 CP
99349:GT H2010:HE:GT N E&M Estab Client Home Mod/High Sev TelePsy I 18 62 1&2&3 CP
99349:GT:59 H2010:HE:GT:59 N E&M Estab Client Home Mod/High Sev TelePsy Dup59 I 18 62 1&2&3 CP
99349:GT:76 H2010:HE:GT:76 N E&M Estab Client Home Mod/High Sev TelePsy Dup76 I 18 62 1&2&3 CP
99349:HX NA E&M Estab Client Home Mod/High Sev (Non Medi-Cal) I 18 63 1&2&3 CP
99350:59 H2010:HE:59 N E&M Estab Client Home High Sev Dup59 I 18 62 1&2&3 CP
99350:76 H2010:HE:76 N E&M Estab Client Home High Sev Dup76 I 18 62 1&2&3 CP
99350:GT H2010:HE:GT N E&M Estab Client Home HIgh Sev TelePsy I 18 62 1&2&3 CP
99350:GT:59 H2010:HE:GT:59 N E&M Estab Client Home HIgh Sev TelePsy Dup59 I 18 62 1&2&3 CP
99350:GT:76 H2010:HE:GT:76 N E&M Estab Client Home HIgh Sev TelePsy Dup76 I 18 62 1&2&3 CP
99350:HX NA E&M Estab Client Home HIgh Sev (Non Medi-Cal) I 18 63 1&2&3 CP
G9007 NA N Case Conference Attendance I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
G9007:SC NA N Case Conference Attendance Phone I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
H0002 H2015:HE N Behavioral Health Screening I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H0002:59 H2015:HE:59 N Behavioral Health Screening Dup59 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H0002:76 H2015:HE:76 N Behavioral Health Screening Dup76 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H0002:HX NA N Behavioral Health Screening (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
H0002:SC H2015:HE:SC N Behavioral Health Screening Phone I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H0002:SC:59 H2015:HE:SC:59 N Behavioral Health Screening Phone Dup59 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H0002:SC:76 H2015:HE:SC:76 N Behavioral Health Screening Phone Dup76 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H0032 H0032 N Plan Development I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H0032:59 H0032:59 N Plan Development Dup59 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H0032:76 H0032:76 N Plan Development Dup76 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H0032:HX NA Plan Development (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
H0032:SC H0032:SC N Plan Development Phone I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H0032:SC:76 H0032:SC:76 N Plan Development Phone Dup76 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H0033 H2010:HE N Oral Medication Administration I 18 62 1&2&3&7&8&9&10&14&15 CP
H0033:59 H2010:HE:59 N Oral Medication Administration Dup59 I 18 62 1&2&3&7&8&9&10&14&15 CP
H0033:76 H2010:HE:76 N Oral Medication Administration Dup76 I 18 62 1&2&3&7&8&9&10&14&15 CP
H0046 H2015:HE N Psychotherapy 0-15 Min FF I 18 42 1&2&3&4&5&6&7&8&18 CP
H0046:59 H2015:HE:59 N Psychotherapy 0-15 Min FF Dup59 I 18 42 1&2&3&4&5&6&7&8&18 CP
H0046:76 H2015:HE:76 N Psychotherapy 0-15 Min FF Dup76 I 18 42 1&2&3&4&5&6&7&8&18 CP
H0046:HX NA Psychotherapy 0-15 Min FF (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&18 CP
H0046:SC H2015:HE:SC N Psychotherapy Phone I 18 42 1&2&3&4&5&6&7&8&18 CP
H0046:SC:59 H2015:HE:SC:59 N Psychotherapy Phone Dup59 I 18 42 1&2&3&4&5&6&7&8&18 CP
H0046:SC:76 H2015:HE:SC:76 N Psychotherapy Phone Dup76 I 18 42 1&2&3&4&5&6&7&8&18 CP
H2010:GT H2010:HE:GT N Medication Support TelePsy I 18 62 1&2&3&7&8&9&10&14&15 CP
H2010:GT:76 H2010:HE:GT:76 N Medication Support TelePsy Dup76 I 18 62 1&2&3&7&8&9&10&14&15 CP
H2010:HE H2010:HE N Medication Support I 18 62 1&2&3&7&8&9&10&14&15 CP
H2010:HE:HQ H2010:HE N Group Medication G 18 62 1&2&3&7&8&9&10&14&15 CP
H2010:HE:HQ:HX NA N Group Medication (Non Medi-Cal) I 18 63 1&2&3&7&8&9&10&14&15 CP
H2010:HE:HQ5 H2010:HE:59 N Group Medication Dup59 G 18 62 1&2&3&7&8&9&10&14&15 CP
H2010:HE:HQ7 H2010:HE:76 N Group Medication Dup76 G 18 62 1&2&3&7&8&9&10&14&15 CP
H2010:HE:HX NA Medication Support (Non Medi-Cal) I 18 63 1&2&3&7&8&9&10&14&15 CP
H2010:SC H2010:HE:SC N Medication Support Phone I 18 62 1&2&3&7&8&9&10&14&15 CP
H2010:SC:76 H2010:HE:SC:76 N Medication Support Phone Dup76 I 18 62 1&2&3&7&8&9&10&14&15 CP
H2010HE:59 H2010:HE:59 N Medication Support Dup59 I 18 62 1&2&3&7&8&9&10&14&15 CP
H2010HE:76 H2010:HE:76 N Medication Support Dup76 I 18 62 1&2&3&7&8&9&10&14&15 CP
H2011:GT H2011:HE:GT N Crisis Intervention TelePsy I 18 77 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2011:GT:76 H2011:HE:GT:76 N Crisis Intervention TelePsy Dup76 I 18 77 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2011:HE H2011:HE N Crisis Intervention I 18 77 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2011:HE:76 H2011:HE:76 N Crisis Intervention Dup76 I 18 77 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2011:HE:HX NA Crisis Intervention (Non Medi-Cal) I 18 78 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
H2011:SC H2011:HE:SC N Crisis Intervention Phone I 18 77 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2011:SC:76 H2011:HE:SC:76 N Crisis Intervention Phone Dup76 I 18 77 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015 H2017:HE N Rehab I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:59 H2017:HE:59 N Rehab Dup59 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:76 H2017:HE:76 N Rehab Dup76 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:HE:HQ H2015:HE N Group Rehab G 18 52 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:HE:HQ:59 H2017:HE:59 N Group Rehab Dup59 G 18 52 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:HE:HQ:76 H2017:HE:76 N Group Rehab Dup76 G 18 52 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:HE:HQ:HX NA N Group Rehab (Non Medi-Cal) G 18 44 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
H2015:HK H2015:HK N IHBS I 18 57 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:HK:76 H2015:HK:76 N IHBS Dup76 I 18 57 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:HK:GT H2015:HK:GT N IHBS TelePsy I 18 57 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:HK:GT:76 H2015:HK:GT:76 N IHBS TelePsy Dup76 I 18 57 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:HK:HX NA N IHBS (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
H2015:HK:SC H2015:HK:SC N IHBS Phone I 18 57 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:HK:SC:76 H2015:HK:SC:76 N IHBS Phone Dup76 I 18 57 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:HX NA Rehab (Non Medi-Cal) I 18 44 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
H2015:SC H2017:HE:SC N Rehab Phone I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:SC:59 H2017:HE:SC:59 N Rehab Phone Dup59 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2015:SC:76 H2017:HE:SC:76 N Rehab Phone Dup76 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2019:HE H2019:HE N TBS I 18 58 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2019:HE:76 H2019:HE:76 N TBS Dup76 I 18 58 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2019:HE:HX NA TBS (Non Medi-Cal) I 18 59 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
H2019:SC H2019:HE:SC N TBS Phone I 18 58 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2019:SC:76 H2019:HE:SC:76 N TBS Phone Dup76 I 18 58 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2025 H2017:HE N Employment Maintenance I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2025:59 H2017:HE:59 N Employment Maintenance Dup59 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2025:76 H2017:HE:76 N Employment Maintenance Dup76 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2025:HX NA N Employment Maintenance (NonMedi-Cal) I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
H2025:SC H2017:HE:SC N Employment Maintenance Phone I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2025:SC:59 H2017:HE:SC:59 N Employment Maintenance Phone Dup59 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
H2025:SC:76 H2017:HE:SC:76 N Employment Maintenance Phone Dup76 I 18 42 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
M0064 H2010:HE Yes: 9/15/15 Brief Med Visit I 18 62 1&2&3&14 CP
M0064:59 H2010:HE:59 Yes: 9/15/15 Brief Med Visit Dup59 I 18 62 1&2&3&14 CP
M0064:76 H2010:HE:76 Yes: 9/15/15 Brief Med Visit Dup76 I 18 62 1&2&3&14 CP
M0064:GT H2010:HE:GT Yes: 9/15/15 Brief Med Visit TelePsy I 18 62 1&2&3&14 CP
M0064:GT:76 H2010:HE:GT:76 Yes: 9/15/15 Brief Med Visit TelePsy Dup76 I 18 62 1&2&3&14 CP
M0064:HX NA Yes: 9/15/15 Brief Med Visit (Non Medi-Cal) I 18 63 1&2&3&14 CP
T1017:HE:HS T1017:HE N Targeted Case Management I 18 4 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
T1017:HE:HS:76 T1017:HE:76 N Targeted Case Management Dup76 I 18 4 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
T1017:HE:HS:HX NA Targeted Case Management (Non Medi-Cal) I 18 5 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
T1017:HK T1017:HK N ICC I 18 57 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
T1017:HK:76 T1017:HK:76 N ICC Dup76 I 18 07 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
T1017:HK:GT T1017:HK:GT N ICC TelePsy I 18 07 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
T1017:HK:GT:76 T1017:HK:GT:76 N ICC TelePsy Dup76 I 18 07 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
T1017:HK:HX T1017:HK:HX N ICC (Non Medi-Cal) I 18 5 1&2&3&4&5&6&7&8&9&10&11&12&14&15&18 CP
T1017:HK:SC T1017:HK:SC N ICC Phone I 18 07 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
T1017:HK:SC:76 T1017:HK:SC:76 N ICC Phone Dup76 I 18 07 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
T1017:SC T1017:HE:SC N Targeted Case Management Phone I 18 4 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP
T1017:SC:76 T1017:HE:SC:76 N Targeted Case Management Phone Dup76 I 18 4 1&2&3&4&5&6&7&8&9&10&11&12&13&14&15&18 CP