PURPOSE:
The purpose of this bulletin is to notify outpatient psychiatric
clinics, psychiatric partial hospitalization programs and outpatient
drug and alcohol clinics of fee increases effective July 1, 1999.
BACKGROUND/DISCUSSION:
The General Appropriation Act of 1999, (Act 1-A) provided funds
to increase fees for outpatient psychiatric clinic services, outpatient
partial hospitalization services and outpatient drug and alcohol
services.
PROCEDURE:
Beginning July 1, 1999, the fees for outpatient psychiatric clinics,
psychiatric partial hospitalization programs and outpatient drug
and alcohol clinics are as follows:
Description |
Procedure Code |
Fee |
|
| Outpatient Psychiatric | |||
| Individual Psychotherapy, 1/2 hour | W9801 | 70 | $26.00 |
| Psychiatric Clinic Med Visit (15 minute visit only) for Drug Administration and Evaluation | W1855 | 70 | $15.00 |
| Psychiatric Evaluation; Examination and Evaluation of a Patient | W0987 | 70 | $75.00 |
| Group Psychotherapy, 1/2 hour, $14 per person per hour, Minimum sessions 1 hr; minimum two and maximum ten sessions in group (recipients and nonrecipients) | W0981 | 70 | $7.00 |
| Family Psychotherapy; One-Half Hour | W0983 | 70 | $26.00 |
| Collateral Family Psychotherapy; 1/2 Hour session provided to the family member(s) of a clinical patient in the absence of that patient | W0984 | 70 | $26.00 |
| Clozaril Monitor and Evaluation Visit-Psych Clinic | W1856 | 70 | $20.00 |
| Anesthesia for Electroconvulsive Therapy | W0988 | 40 | $41.00 |
| Anesthesia for Electroconvulsive Therapy | W0988 | 70 | $41.00 |
| Generally Accepted Individual Measurements | W0841 | 70 | $31.00 |
| Generally Accepted Personality Inventories | W0845 | 70 | $31.00 |
| Clinic, Neurological Evaluation | W0985 | 70 | $53.00 |
| Psychotherapy (Indiv, Family, Collat) quarter-hour increments; only to be used after the initial half-hour session | W0148 | 70 | $10.00 |
| Outpatient Psych Partial Hospitalization | |||
| Licensed Children's Partial Hospitalization Program, Child, Per Hour | W0865 | AH | $15.00 |
| Licensed Adult Psychiatric Partial Hospitalization Program; Adult, Per Hour | W0860 | AH | $14.00 |
| Psy Partial Hospital Program; Non-covered Medicare Hours, Adult | W0862 | AH | $14.00 |
| Licensed Children's Psychiatric Hospitalization Program; Child (15-20 years of age), Per Hour | W0866 | AH | $15.00 |
| Licensed Adult Psychiatric Partial Hospitalization Program; Child, Per Hour | W0861 | AH | $15.00 |
| Licensed Child Psychiatric Partial Hospitalization Program; Child, per hour, (0-14 years of age) (Services beyond 720 hours) | W0868 | AH | $15.00 |
| Licensed Child Psychiatric Partial Hospitalization Program; Child, per hour, (15-20 years of age) (Services beyond 720 hours) | W0869 | AH | $15.00 |
| Licensed Adult Psychiatric Partial Hospital Program; Child, per hour (0 through 20 years of age) (Services beyond 720 hours) | W0867 | AH | $15.00 |
| Outpatient Drug and Alcohol | |||
| Individual Psychotherapy; one-half hour | W9801 | AF | $26.00 |
| Methadone Maintenance Clinic Visit for Administration and Evaluation of Methadone (fifteen minute visit only) | W0856 | AG | $7.50 |
| Group Psychotherapy; 1/2 hour, $14.00 per person per hour; minimum session one hur; minimum two and maximum ten persons (recipients and non-recipients) | W0981 | AF | $7.00 |
| Psychiatric Evaluation; Examination and Evaluation of a Patient | W0987 | AF | $75.00 |
| Family Psychotherapy; one-half hour | W0983 | AF | $26.00 |
| Personality Inventories (without graphics or projectives) MMPI or (16 personality factors) | W0845 | AF | $31.00 |
| Individual Measurements: WAIS, WISC, Binet or Raven only | W0841 | AF | $31.00 |