101 CMR, § 329.05 - Allowable Fees for Other Psychological and Licensed Independent Behavioral Health Clinician Services
|
Service Code |
Allowable Fee |
Description |
|
90791-AH |
$143.48 |
Psychiatric diagnostic evaluation. (Diagnostic services.) |
|
90791-HA-AH |
$158.48 |
Psychiatric diagnostic evaluation performed with a CANS (Children and Adolescent Needs and Strengths) |
|
90832-AH |
$59.16 |
Psychotherapy, 30 minutes with patient. (Individual therapy.) |
|
90834-AH |
$95.89 |
Psychotherapy, 45 minutes with patient. (Individual therapy.) |
|
90837-AH |
$127.53 |
Psychotherapy, 60 minutes with patient. (Individual therapy.) |
|
90846-AH |
$101.43 |
Family psychotherapy (without the patient present), 50 minutes. |
|
90847-AH |
$101.43 |
Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes. |
|
90849-AH |
$35.86 |
Multiple-family group psychotherapy. |
|
90853-AH |
$35.86 |
Group psychotherapy (other than of a multiple-family group). (Group therapy. Limited to 12 clients per group. Billed per client. 90 minutes.) |
|
90882-AH |
$71.80 |
Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions. |
|
90887-AH |
$67.31 |
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 % hour) |
|
Service Code |
Allowable Fee |
Description |
|
90791-HO |
$130.48 |
Psychiatric diagnostic evaluation. (Diagnostic services.) |
|
90791-HA-HO |
$145.48 |
Psychiatric diagnostic evaluation performed with a CANS (Children and Adolescent Needs and Strengths) |
|
90832-HO |
$52.20 |
Psychotherapy, 30 minutes with patient. (Individual therapy.) |
|
90834-HO |
$95.46 |
Psychotherapy, 45 minutes with patient. (Individual therapy.) |
|
90837-HO |
$125.69 |
Psychotherapy, 60 minutes with patient. (Individual therapy.) |
|
90846-HO |
$101.43 |
Family psychotherapy (without the patient present), 50 minutes. |
|
90847-HO |
$101.43 |
Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes. |
|
90849-HO |
$27.69 |
Multiple-family group psychotherapy. |
|
90853-HO |
$33.12 |
Group psychotherapy (other than of a multiple-family group). (Group therapy. Limited to 12 clients per group. Billed per client. 90 minutes.) |
|
90882 -HO |
$71.80 |
Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions. |
|
90887-HO |
$59.40 |
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 % hour). |
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
| Service Code | Allowable Fee | Description |
| 90791-AH | $136.38 | Psychiatric diagnostic evaluation. (Diagnostic services.) |
| 90791-HA-AH | $151.38 | Psychiatric diagnostic evaluation performed with a CANS (Children and Adolescent Needs and Strengths) |
| 90832-AH | $59.16 | |
| 90834-AH | $95.46 | |
| 90837-AH | $125.69 | |
| 90847-AH | $101.43 | Family |
| 90853-AH | $30.31 per client, 1U hour session | Group |
| 90882-AH | $71.80 | Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions |
| 90887-AH | $67.31 | 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 U hour) |
| Service Code | Allowable Fee | Description |
| 90791-AH | $130.48 | Psychiatric diagnostic evaluation. (Diagnostic services.) |
| 90791-HA-HO | $145.48 | Psychiatric diagnostic evaluation performed with a CANS (Children and Adolescent Needs and Strengths) |
| 90832-HO | $52.20 | |
| 90834-HO | $95.46 | |
| 90837-HO | $125.69 | |
| 90847-HO | $101.43 | Family |
| 90853-HO | $30.31 per client 1U hour session | Group |
| 90882 -HO | $71.80 | Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions. |
| 90887-HO | $59.40 | 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 U hour) |