Allowable Fees for Other Psychological and Licensed Independent Behavioral Health Clinician

Services (1) The payment rates for psychological services provided by a psychologist are as follows. Service Code Allowable Fee Description Psychiatric diagnostic evaluation. (Diagnostic Service Code Allowable Fee Description services.) 90791-HA-AH Psychiatric diagnostic evaluation performed with a CANS (Children and Adolescent Needs and Strengths) Psychotherapy, 30 minutes with patient. (Individual therapy.) Psychotherapy, 45 minutes with patient. (Individual therapy.) Psychotherapy, 60 minutes with patient. (Individual therapy.) Family psychotherapy (without the patient present), 50 minutes. Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes. Multiple-family group psychotherapy. Group psychotherapy (other than of a multiple-family group). (Group therapy. Limited to 12 clients per group. Billed per client. 90 minutes.) Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions. Interpretation or explanation of results of psychiatric, or other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient (per 1/2 hour). (2) The payment rates for licensed independent behavioral health clinician services provided by a LMHC, LMFT, or LICSW are as follows. Service Code Allowable Fee Description Psychiatric diagnostic evaluation. (Diagnostic services.) 90791-HA-HO Psychiatric diagnostic evaluation performed with a CANS (Children and Adolescent Needs and Strengths) Psychotherapy, 30 minutes with patient. (Individual therapy.) Psychotherapy, 45 minutes with patient. (Individual therapy.) Psychotherapy, 60 minutes with patient. (Individual therapy.) Family psychotherapy (without the patient present), 50 minutes. Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes. Service Code Allowable Fee Description Multiple-family group psychotherapy. Group psychotherapy (other than of a multiple-family group). (Group therapy. Limited to 12 clients per group. Billed per client. 90 minutes.) Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions. Interpretation or explanation of results of psychiatric, or other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient (per 1/2 hour).