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["Instruction To Generate the Summary of CoSD Program Invoicing Report"]
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["1.","Download the CoSD Program Invoicing Report as CSV file. Make sure to select services with Show and Completed status only."]
["2.","In the CoSD Program Invoicing Report, delete the first 3 rows and copy the data from column A - V"]
["3.","Paste the data as value in the Smartcare Report tab of the Service Time Generator Template."]
["4.","Click the Generate Summary button which can be found in column AV of the Smartcare Report tab."]
["5.","To generate a new summary for another report, remove any filters in the Summary table and click the Clear Data button in the Summary tab."]
["6.","Follow steps 1-4."]
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["Since the template is too big to attach in an e-mail, we have two (2) options in submitting the report via e-mail."]
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["Option 1: Compress the file before sending via e-mail"]
["1.","Locate the Excel file. Go to the folder where the Service Time Generator - Program Invoicing Template is saved."]
["2.","Right-click the file."]
["3.","Select Compress to.."]
["4.","In the selection, click Zip file."]
["5.","You'll see a new ZIP file (e.g., your_excel_file_name.zip) in your file browser, indicating that the compression was successful."]
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["Option 2: Create a separate file for the Summary"]
["1. ","After creating the summary, right click the Summary tab  and select Move or Copy…"]
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["2.","In the To book: field, select (new book) and check Create a copy"]
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["3.","Save the file as a .xlsx file"]
["4.","E-mail the summary together with the CalAim invoice and the COSD Program Invoicing  Report used to generate the summary."]

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Client\",AK2>=30,AK2<=44),\"99309\",AND(I2=\"E&M Nursing Facility - Established Client\",AK2>=45),\"99310\",AND(I2=\"Prescriber Progress E/M (OP)\",AK2>=10,AK2<=19),\"99212\",AND(I2=\"Prescriber Progress E/M (OP)\",AK2>=20,AK2<=29),\"99213\",AND(I2=\"Prescriber Progress E/M (OP)\",AK2>=30,AK2<=39),\"99214\",AND(I2=\"Prescriber Progress E/M (OP)\",AK2>=40,AK2<=9999),\"99215\",AND(I2=\"Telephone Assessment and Management Service\",AK2>=5,AK2<=10),\"98966\",AND(I2=\"Telephone Assessment and Management Service\",AK2>=11,AK2<=20),\"98967\",AND(I2=\"Telephone Assessment and Management Service\",AK2>=21,AK2<=30),\"98968\",AND(I2=\"Prescriber Telephone E/M (OP)\",AK2>=5,AK2<=10),\"99441\",AND(I2=\"Prescriber Telephone E/M (OP)\",AK2>=11,AK2<=20),\"99442\",AND(I2=\"Prescriber Telephone E/M (OP)\",AK2>=21,AK2<=30),\"99443\",AND(I2=\"Prescriber New E/M (OP)\",AK2>=15,AK2<=29),\"99202\",AND(I2=\"Prescriber New E/M (OP)\",AK2>=30,AK2<=44),\"99203\",AND(I2=\"Prescriber New E/M (OP)\",AK2>=45,AK2<=59),\"99204\",AND(I2=\"Prescriber New E/M (OP)\",AK2>=60,AK2<=9999),\"99205\",AND(I2=\"E&M Nursing Facility - New Client\",AK2>=25,AK2<=34),\"99304\",AND(I2=\"E&M Nursing Facility - New Client\",AK2>=35,AK2<=44),\"99305\",AND(I2=\"E&M Nursing Facility - New Client\",AK2>=45),\"99306\",AND(I2=\"Individual Therapy\",AK2>=16,AK2<=37),\"90832\",AND(I2=\"Individual Therapy\",AK2>=38,AK2<=52),\"90834\",AND(I2=\"Individual Therapy\",AK2>=53,AK2<=67),\"90837\",AND(I2=\"Individual Therapy\",AK2>67),\"T2021\",AND(I2=\"Prescriber Discharge Day Mgmt (IP/PHF/CSU/Res)\",AK2>=1,AK2<=30),\"99238\",AND(I2=\"Prescriber Discharge Day Mgmt (IP/PHF/CSU/Res)\",AK2>=31,AK2<=1440),\"99239\",AND(I2=\"Prescriber Psychotherapy E/M\",AK2>=16,AK2<=37),\"90833\",AND(I2=\"Prescriber Psychotherapy E/M\",AK2>=38,AK2<=52),\"90836\",AND(I2=\"Prescriber Psychotherapy E/M\",AK2>=53,AK2<=9999),\"90838\",AND(I2=\"Home Visit of a New Patient\",AK2>=15,AK2<=29),\"99341\",AND(I2=\"Home Visit of a New Patient\",AK2>=30,AK2<=59),\"99342\",AND(I2=\"Home Visit of a New Patient\",AK2>=60,AK2<=74),\"99344\",AND(I2=\"Home Visit of a New Patient\",AK2>=75),\"99345\",AND(I2=\"Home Visit of an Established Patient\",AK2>=20,AK2<=29),\"99347\",AND(I2=\"Home Visit of an Established Patient\",AK2>=30,AK2<=39),\"99348\",AND(I2=\"Home Visit of an Established Patient\",AK2>=40,AK2<=59),\"99349\",AND(I2=\"Home Visit of an Established Patient\",AK2>=60),\"99350\",AND(I2=\"E&M Nursing Facility (professional fees)\",AK2>=25,AK2<=34),\"99304\",AND(I2=\"E&M Nursing Facility (professional fees)\",AK2>=35,AK2<=49),\"99305\",AND(I2=\"E&M Nursing Facility (professional fees)\",AK2>=50),\"99306\", AND(I2=\"Prescriber Consult (IP/PHF/CSU/Res)\",AK2>=35,AK2<=44),\"99252\",AND(I2=\"Prescriber Consult (IP/PHF/CSU/Res)\",AK2>=45,AK2<=59),\"99253\",AND(I2=\"Prescriber Consult (IP/PHF/CSU/Res)\",AK2>=60,AK2<=74),\"99254\",AND(I2=\"Prescriber Consult (IP/PHF/CSU/Res)\",AK2>=80),\"99255\",AND(F2=\"BedDay, System\",OR(I2=\"Adult Residential Day - Older Adult\", I2=\"Adult Residential Day\", I2=\"Residential Treatment -Substance Use\")),\"H0019\",AND(F2=\"BedDay, System\",OR(I2=\"Crisis Residential Day\", I2=\"Crisis Residential Day - Older Adult\", I2=\"Crisis Residential Day - Adult\", I2=\"Crisis Residential Day - Youth\")),\"H0018\",AND(F2=\"BedDay, System\",OR(I2=\"Residential Withdrawal Management\")),\"H0012\",AND(I2=\"Prescriber Admit E/M (IP/PHF/Res)\",AK2>=40,AK2<=54),99221,AND(I2=\"Prescriber Admit E/M (IP/PHF/Res)\",AK2>=55,AK2<=74),99222,AND(I2=\"Prescriber Admit E/M (IP/PHF/Res)\",AK2>=75),99223,AND(OR(I2=\"Assessment of aphasia\",I2=\"Brief Emotional/Behavioral Assessment\",I2=\"Developmental Screening\",I2=\"Assessment LPHA\",I2=\"Prescriber Assessment E/M (OP)\",I2=\"Cognitive Testing\",I2=\"Electronic Based Psych Assessment\",I2=\"Review of Hospital Records\"),AK2>67),\"T2024\",AND(OR(I2=\"Assessment of aphasia\"),AK2>=31,AK2<=67),96105,AND(OR(I2=\"Brief Emotional/Behavioral Assessment\"),AK2>=31,AK2<=67),96127,AND(OR(I2=\"Developmental Screening\"),AK2>=31,AK2<=67),96110,AND(OR(I2=\"Assessment LPHA\"),AK2>=31,AK2<=67),90791,AND(OR(I2=\"Prescriber Assessment E/M (OP)\"),AK2>=31,AK2<=67),90792,AND(OR(I2=\"Review of Hospital Records\"),AK2>=31,AK2<=67),90885,AND(OR(I2=\"Cognitive Testing\"),AK2>=31,AK2<=67),96125,AND(OR(I2=\"Electronic Based Psych Assessment\"),AK2>=31,AK2<=67),96146,AND(OR(I2=\"Nacrosynthesis for Psychiatric Diagnostic and Therapeutic Purposes\"),AK2>=46,AK2<=97),90865,AND(OR(I2=\"Nacrosynthesis for Psychiatric Diagnostic and Therapeutic Purposes\"),AK2>97),\"T2024\",AND(OR(I2=\"ECT\"),AK2>=11,AK2<=27),90870,AND(OR(I2=\"Psychoanalysis\"),AK2>=23,AK2<=52),90845,AND(OR(I2=\"Family Therapy - client present\"),AK2>=26,AK2<=57),90847,AND(OR(I2=\"Group Therapy\"),AK2>=26,AK2<=57),90853,AND(OR(I2=\"Hypnotherapy\"),AK2>=31,AK2<=67),90880,AND(OR(I2=\"Multiple-Family Group Psychotherapy\"),AK2>=43,AK2<=91),90849,AND(OR(I2=\"ECT\"),AK2>27),\"T2021\",AND(OR(I2=\"Psychoanalysis\"),AK2>52),\"T2021\",AND(OR(I2=\"Hypnotherapy\"),AK2>67),\"T2021\",AND(OR(I2=\"Multiple-Family Group Psychotherapy\"),AK2>91),\"T2021\",AND(OR(I2=\"Family Therapy - client present\",I2=\"Group Therapy\"),AK2>57),\"T2021\",AND(OR(I2=\"Ambulatory WM - Level 1\",I2=\"Ambulatory WM - Level 2\"),AK2>=30),\"H0014\")),VLOOKUP(I2,'Data Validation'!A:B,2,0))),\"Non-Billable\")","v":"Non-Billable"},{"$f":"_xlfn.IFS(AND(I2=\"Alcohol and/or substance (other than tobacco) abuse screening\",AK2>=15,AK2<=30),\"99408\",AND(I2=\"Alcohol and/or substance (other than tobacco) abuse screening\",AK2>=31,AK2<=1440),\"99409\",AND(I2=\"ASAM or other structured SUD Assessment\",AK2>=15,AK2<=30),\"G0396\",AND(I2=\"ASAM or other structured SUD Assessment\",AK2>=5,AK2<=14),\"G2011\",AND(I2=\"ASAM or other structured SUD Assessment\",AK2>=31,AK2<=1440),\"G0397\",AND(I2=\"Neuropsychological Testing Evaluation\",AK2>=31,AK2<=60),\"96132\",AND(I2=\"Neuropsychological Testing Evaluation\",AK2>=61,AK2<=9999),\"96133\",AND(I2=\"Prescriber Same Date Admit and Disc E/M (IP/PHF/CSU/Res)\",AK2>=45,AK2<=69),\"99234\",AND(I2=\"Prescriber Same Date Admit and Disc E/M (IP/PHF/CSU/Res)\",AK2>=70,AK2<=84),\"99235\",AND(I2=\"Prescriber Same Date Admit and Disc E/M (IP/PHF/CSU/Res)\",AK2>=85),\"99236\",AND(I2=\"Prescriber Consult (OP)\",AK2>=20,AK2<=29),\"99242\",AND(I2=\"Prescriber Consult (OP)\",AK2>=30,AK2<=39),\"99243\",AND(I2=\"Prescriber Consult (OP)\",AK2>=55),\"99245\",AND(I2=\"Prescriber Consult (OP)\",AK2>=40,AK2<=54),\"99244\",AND(I2=\"Psychological or Neuropsychological Test Administration\",AK2>=16,AK2<=30),\"96136\",AND(I2=\"Psychological or Neuropsychological Test Administration\",AK2>=31,AK2<=9999),\"96137\",AND(I2=\"Psychological Testing\",AK2>=31,AK2<=60),\"96130\",AND(I2=\"Psychological Testing\",AK2>=61,AK2<=9999),\"96131\",AND(I2=\"Prescriber Progress E/M (IP/PHF/CSU/Res)\",AK2>=25,AK2<=34),\"99231\",AND(I2=\"Prescriber Progress E/M (IP/PHF/CSU/Res)\",AK2>=35,AK2<=49),\"99232\",AND(I2=\"Prescriber Progress E/M (IP/PHF/CSU/Res)\",AK2>=50),\"99233\",AND(I2=\"E&M Nursing Facility - Established Client\",AK2>=10,AK2<=19),\"99307\",AND(I2=\"E&M Nursing Facility - Established Client\",AK2>=20,AK2<=29),\"99308\",AND(I2=\"E&M Nursing Facility - Established Client\",AK2>=30,AK2<=44),\"99309\",AND(I2=\"E&M Nursing Facility - Established Client\",AK2>=45),\"99310\",AND(I2=\"Prescriber Progress E/M (OP)\",AK2>=10,AK2<=19),\"99212\",AND(I2=\"Prescriber Progress E/M (OP)\",AK2>=20,AK2<=29),\"99213\",AND(I2=\"Prescriber Progress E/M (OP)\",AK2>=30,AK2<=39),\"99214\",AND(I2=\"Prescriber Progress E/M (OP)\",AK2>=40,AK2<=9999),\"99215\",AND(I2=\"Telephone Assessment and Management Service\",AK2>=5,AK2<=10),\"98966\",AND(I2=\"Telephone Assessment and Management Service\",AK2>=11,AK2<=20),\"98967\",AND(I2=\"Telephone Assessment and Management Service\",AK2>=21,AK2<=30),\"98968\",AND(I2=\"Prescriber Telephone E/M (OP)\",AK2>=5,AK2<=10),\"99441\",AND(I2=\"Prescriber Telephone E/M (OP)\",AK2>=11,AK2<=20),\"99442\",AND(I2=\"Prescriber Telephone E/M (OP)\",AK2>=21,AK2<=30),\"99443\",AND(I2=\"Prescriber New E/M (OP)\",AK2>=15,AK2<=29),\"99202\",AND(I2=\"Prescriber New E/M (OP)\",AK2>=30,AK2<=44),\"99203\",AND(I2=\"Prescriber New E/M (OP)\",AK2>=45,AK2<=59),\"99204\",AND(I2=\"Prescriber New E/M (OP)\",AK2>=60,AK2<=9999),\"99205\",AND(I2=\"E&M Nursing Facility - New Client\",AK2>=25,AK2<=34),\"99304\",AND(I2=\"E&M Nursing Facility - New Client\",AK2>=35,AK2<=44),\"99305\",AND(I2=\"E&M Nursing Facility - New Client\",AK2>=45),\"99306\",AND(I2=\"Individual Therapy\",AK2>=16,AK2<=37),\"90832\",AND(I2=\"Individual Therapy\",AK2>=38,AK2<=52),\"90834\",AND(I2=\"Individual Therapy\",AK2>=53,AK2<=67),\"90837\",AND(I2=\"Individual Therapy\",AK2>67),\"T2021\",AND(I2=\"Prescriber Discharge Day Mgmt (IP/PHF/CSU/Res)\",AK2>=1,AK2<=30),\"99238\",AND(I2=\"Prescriber Discharge Day Mgmt (IP/PHF/CSU/Res)\",AK2>=31,AK2<=1440),\"99239\",AND(I2=\"Prescriber Psychotherapy E/M\",AK2>=16,AK2<=37),\"90833\",AND(I2=\"Prescriber Psychotherapy E/M\",AK2>=38,AK2<=52),\"90836\",AND(I2=\"Prescriber Psychotherapy E/M\",AK2>=53,AK2<=9999),\"90838\",AND(I2=\"Home Visit of a New Patient\",AK2>=15,AK2<=29),\"99341\",AND(I2=\"Home Visit of a New Patient\",AK2>=30,AK2<=59),\"99342\",AND(I2=\"Home Visit of a New Patient\",AK2>=60,AK2<=74),\"99344\",AND(I2=\"Home Visit of a New Patient\",AK2>=75),\"99345\",AND(I2=\"Home Visit of an Established Patient\",AK2>=20,AK2<=29),\"99347\",AND(I2=\"Home Visit of an Established Patient\",AK2>=30,AK2<=39),\"99348\",AND(I2=\"Home Visit of an Established Patient\",AK2>=40,AK2<=59),\"99349\",AND(I2=\"Home Visit of an Established Patient\",AK2>=60),\"99350\",AND(I2=\"E&M Nursing Facility (professional fees)\",AK2>=25,AK2<=34),\"99304\",AND(I2=\"E&M Nursing Facility (professional fees)\",AK2>=35,AK2<=49),\"99305\",AND(I2=\"E&M Nursing Facility (professional fees)\",AK2>=50),\"99306\", AND(I2=\"Prescriber Consult (IP/PHF/CSU/Res)\",AK2>=35,AK2<=44),\"99252\",AND(I2=\"Prescriber Consult (IP/PHF/CSU/Res)\",AK2>=45,AK2<=59),\"99253\",AND(I2=\"Prescriber Consult (IP/PHF/CSU/Res)\",AK2>=60,AK2<=74),\"99254\",AND(I2=\"Prescriber Consult (IP/PHF/CSU/Res)\",AK2>=80),\"99255\",AND(F2=\"BedDay, System\",OR(I2=\"Adult Residential Day - Older Adult\", I2=\"Adult Residential Day\", I2=\"Residential Treatment -Substance Use\")),\"H0019\",AND(F2=\"BedDay, System\",OR(I2=\"Crisis Residential Day\", I2=\"Crisis Residential Day - Older Adult\", I2=\"Crisis Residential Day - Adult\", I2=\"Crisis Residential Day - Youth\")),\"H0018\",AND(F2=\"BedDay, System\",OR(I2=\"Residential Withdrawal Management\")),\"H0012\",AND(I2=\"Prescriber Admit E/M (IP/PHF/Res)\",AK2>=40,AK2<=54),99221,AND(I2=\"Prescriber Admit E/M (IP/PHF/Res)\",AK2>=55,AK2<=74),99222,AND(I2=\"Prescriber Admit E/M (IP/PHF/Res)\",AK2>=75),99223,AND(OR(I2=\"Assessment of aphasia\",I2=\"Brief Emotional/Behavioral Assessment\",I2=\"Developmental Screening\",I2=\"Assessment LPHA\",I2=\"Prescriber Assessment E/M (OP)\",I2=\"Cognitive Testing\",I2=\"Electronic Based Psych Assessment\",I2=\"Review of Hospital Records\"),AK2>67),\"T2024\",AND(OR(I2=\"Assessment of aphasia\"),AK2>=31,AK2<=67),96105,AND(OR(I2=\"Brief Emotional/Behavioral Assessment\"),AK2>=31,AK2<=67),96127,AND(OR(I2=\"Developmental Screening\"),AK2>=31,AK2<=67),96110,AND(OR(I2=\"Assessment LPHA\"),AK2>=31,AK2<=67),90791,AND(OR(I2=\"Prescriber Assessment E/M (OP)\"),AK2>=31,AK2<=67),90792,AND(OR(I2=\"Review of Hospital Records\"),AK2>=31,AK2<=67),90885,AND(OR(I2=\"Cognitive Testing\"),AK2>=31,AK2<=67),96125,AND(OR(I2=\"Electronic Based Psych Assessment\"),AK2>=31,AK2<=67),96146,AND(OR(I2=\"Nacrosynthesis for Psychiatric Diagnostic and Therapeutic Purposes\"),AK2>=46,AK2<=97),90865,AND(OR(I2=\"Nacrosynthesis for Psychiatric Diagnostic and Therapeutic Purposes\"),AK2>97),\"T2024\",AND(OR(I2=\"ECT\"),AK2>=11,AK2<=27),90870,AND(OR(I2=\"Psychoanalysis\"),AK2>=23,AK2<=52),90845,AND(OR(I2=\"Family Therapy - client present\"),AK2>=26,AK2<=57),90847,AND(OR(I2=\"Group Therapy\"),AK2>=26,AK2<=57),90853,AND(OR(I2=\"Hypnotherapy\"),AK2>=31,AK2<=67),90880,AND(OR(I2=\"Multiple-Family Group Psychotherapy\"),AK2>=43,AK2<=91),90849,AND(OR(I2=\"ECT\"),AK2>27),\"T2021\",AND(OR(I2=\"Psychoanalysis\"),AK2>52),\"T2021\",AND(OR(I2=\"Hypnotherapy\"),AK2>67),\"T2021\",AND(OR(I2=\"Multiple-Family Group Psychotherapy\"),AK2>91),\"T2021\",AND(OR(I2=\"Family Therapy - client present\",I2=\"Group Therapy\"),AK2>57),\"T2021\",AND(OR(I2=\"Ambulatory WM - Level 1\",I2=\"Ambulatory WM - Level 2\"),AK2>=30),\"H0014\")","v":{"$error":"#N/A"}},{"$f":"AND(F2=\"BedDay, System\",I2=\"Residential Treatment -Substance Use\")","v":false},{"$f":"_xlfn.IFS(AND(AJ2=\"H2011\",I2=\"Mobile Crisis Encounter\"),1,AND(AJ2=\"H2019\",I2=\"Residential Treatment -Substance Use\"),1)","v":{"$error":"#N/A"}},{"$f":"AND(I2=\"Residential Withdrawal Management\",F2=\"BedDay, System\")","v":false},{"$f":"AND(OR(I2=\"Crisis Residential Day\", I2=\"Crisis Residential Day - Older Adult\", I2=\"Crisis Residential Day - Adult\", I2=\"Crisis Residential Day - Youth\"),F2=\"BedDay, System\")","v":false},{"$f":"ROUND(AH2/60,0)","v":0}]

{"sheet":"Procedure Code","index":2,"n_rows":262,"n_cols":15,"rows_kept":262,"cut":false,"hidden":true,"merged":[]}
["Procedure Name Displayed in EHR","CPT/HCPCS (Not including modifiers)","Minimum","Maximum","Equivalent","Sample Minutes/Units","Unit Calculation","Notes","Updated Charges Formula","Service Descrition","Conversion per Unit",{"$f":"AND(OR(AV2=99236),AK2>=85,AK2<=99)","v":false},null,{"$f":"OR(I2=\"Assessment of aphasia\",I2=\"Brief Emotional/Behavioral Assessment\",I2=\"Developmental Screening\",I2=\"Assessment LPHA\",I2=\"Prescriber Assessment E/M (OP)\",I2=\"Cognitive Testing\",I2=\"Electronic Based Psych Assessment\",I2=\"Review of Hospital Records\")","v":false},{"$f":"AND(OR(I2=\"Family Therapy - client present\",I2=\"Group Therapy\"),AK2>57)","v":false}]
["Health Risk Assessment",96160,8,1440,null,null,1,null,"Y"]
["SUD Screening","H0001",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},35,{"$f":"ROUND(((1/15)*F3),0)","v":2},null,"OK"]
["Alcohol and/or drug screening","H0049",8,9999,6.6666666666666666E-2,90,{"$f":"ROUND((E4*F4),0)","v":6},null,"OK"]
["Alcohol and/or drug screening. Laboratory analysis","H0003",8,9999,6.6666666666666666E-2,23,2,null,"OK"]
["Contingency Management","H0050",8,9999,6.6666666666666666E-2,623,42,null,"OK"]
["SUD Crisis Intervention","H0007",8,9999,6.6666666666666666E-2,null,0,null,"OK"]
["Group Counseling","H0005",8,9999,6.6666666666666666E-2,null,0,null,"OK"]
["Acute Detox (hospital inpatient)","H0009",8,9999,6.6666666666666666E-2,null,0,null,"OK"]
["Sub-acute detox (hospital inpatient)","H0008",8,9999,6.6666666666666666E-2,null,0,null,"OK"]
["Lab Specimen Collection","H0048",8,9999,6.6666666666666666E-2,null,0,null,"OK"]
["AOD Treatment","H2035",31,9999,{"$f":"1/60","v":1.6666666666666666E-2},31,1,null,"ok"]
["Alcohol and/or substance (other than tobacco) abuse screening",99408,15,30,null,null,1,null,"ok","Observation or Inpatient Hospital Care, Including Admit/Disc Same Date\nPrescriber Same Date Admit and Disc E/M (IP/PHF/CSU/Res)",60,{"$f":"AND(I2=\"Inpatient Med Support Prescriber Consult (IP/PHF/CSU/Res)\",AK2>=45,AK2<=59)","v":false}]
["Alcohol and/or substance (other than tobacco) abuse screening",99409,31,1440,null,null,1,null,"Y",null,null,{"$f":"AND(I2=\"Inpatient Med Support Prescriber Consult (IP/PHF/CSU/Res)\",AK2>=60,AK2<=74)","v":false}]
["ASAM or other structured SUD Assessment","G0396",15,30,null,null,1,null,"ok",null,null,{"$f":"AND(I2=\"Inpatient Med Support Prescriber Consult (IP/PHF/CSU/Res)\",AK2>=80,AK2<=94)","v":false}]
["ASAM or other structured SUD Assessment","G0397",31,1440,null,null,1,null,"Y",null,null,{"$f":"AND(I2=\"Home Visit of an Established Patient\",AK2>=60,AK2<=74)","v":false}]
["ASAM or other structured SUD Assessment","G2011",5,14,null,null,1,null,"OK"]
["Family/Couple Counseling","T1006",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E18*F18),0)","v":0},null,"OK"]
["Discharge Planning","T1007",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E19*F19),0)","v":0},null,"OK"]
["Application of On-body Injector for Timed Subcutaneous Injection",96377,1,15,null,null,1,null,"OK"]
["Assessment of aphasia",96105,31,67,null,null,1,null,"Ok","Converts to T2024 if more than max minutes",{"$f":"VLOOKUP(B21,'Data Validation'!H:J,3,0)","v":60},null,null,{"$f":"OR(I2=\"Assessment of aphasia\",I2=\"Brief Emotional/Behavioral Assessment\",I2=\"Developmental Screening\",I2=\"Assessment LPHA\",I2=\"Prescriber Assessment E/M (OP)\",I2=\"Cognitive Testing\",I2=\"Electronic Based Psych Assessment\",I2=\"Review of Hospital Records\")","v":false},{"$f":"AND(OR(I2=\"Nacrosynthesis for Psychiatric Diagnostic and Therapeutic Purposes\"),AK2>=46,AK2<=97)","v":false}]
["Individual Counseling","H0004",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E22*F22),0)","v":0},null,"OK"]
["Physician-to-Physician Consult",99451,5,30,null,null,1,null,"OK"]
["Intravenous Infusion,  Addl Seq Inf, 1-60 Minutes after 96365",96367,61,120,null,null,1,"Add On Code"]
["Intravenous Infusion,  Concurrent Infusion",96368,8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E25*F25),0)","v":0},null,"OK"]
["Intravenous Infusion, for Therapy, Prophylaxis, Each Addl 30-60 Minutes pas",96366,61,120,null,null,1,"Add On Code"]
["Intravenous Infusion, for Therapy, Prophylaxis, or Diagnosis",96365,1,60,null,null,1,null,"OK"]
["Brief Emotional/Behavioral Assessment",96127,31,67,null,null,1,null,"OK","Converts to T2024 if more than max minutes",{"$f":"VLOOKUP(B28,'Data Validation'!H:J,3,0)","v":60}]
["CFT/MDT","H2000",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E29*F29),0)","v":0},null,"OK"]
["Developmental Screening",96110,31,67,null,null,1,null,"ok","Converts to T2024 if more than max minutes",{"$f":"VLOOKUP(B30,'Data Validation'!H:J,3,0)","v":60}]
["Developmental Testing",96112,31,60,null,null,1,null,"Y"]
["Medication Therapy Management Service(s) by a Pharmacist each Addl 15 Minut",99607,16,9999,{"$f":"1/15","v":6.6666666666666666E-2},23,{"$f":"(ROUND((E32*F32),0))-1","v":1},"Add On Code"]
["Pharmacist Med Mgmt Progress Note",99606,8,15,null,null,1,null,"OK"]
["Pharmacist Med Mgmt Assessment",99605,8,15,null,null,1,null,"OK"]
["Developmental Testing, Each Addl 30 Minutes",96113,61,9999,{"$f":"1/30","v":3.3333333333333333E-2},90,{"$f":"ROUND((((1/30)*F35)-0.01),0)","v":3},"Add On Code","ok"]
["Assessment Contribution ","H0031",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E36*F36),0)","v":0},null,"OK"]
["Neurobehavioral Status Exam",96116,31,60,null,null,1,null,"Y"]
["Neurobehavioral Status Exam, Each Addl Hour",96121,61,9999,{"$f":"1/60","v":1.6666666666666666E-2},null,{"$f":"ROUND(((E38*F38)-0.01),0)","v":0},"Add On Code","ok"]
["Nacrosynthesis for Psychiatric Diagnostic and Therapeutic Purposes",90865,46,97,null,null,1,null,"OK","Converts to T2024 if more than max minutes",{"$f":"VLOOKUP(B39,'Data Validation'!H:J,3,0)","v":90}]
["Neuropsychological Testing Evaluation",96132,31,60,null,null,1,null,"Y"]
["Neuropsychological Testing Evaluation",96133,61,9999,{"$f":"1/60","v":1.6666666666666666E-2},158,{"$f":"ROUND((E41*F41),0)","v":3},"Add-on code","ok"]
["Assessment LPHA",90791,31,67,null,null,1,null,"OK","Converts to T2024 if more than max minutes",{"$f":"VLOOKUP(B42,'Data Validation'!H:J,3,0)","v":60}]
["Prescriber Assessment E/M (OP)",90792,31,67,null,null,1,null,"OK","Converts to T2024 if more than max minutes",{"$f":"VLOOKUP(B43,'Data Validation'!H:J,3,0)","v":60}]
["Nurse Assessment","T1001",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},25,{"$f":"ROUND((E44*F44),0)","v":2},null,"OK"]
["Observation Care Discharge Day Management",99217,null,null,null,null,null,"Deleted by CMS 1/1/23","Deleted by CMS 1/1/23"]
["Prescriber Same Date Admit and Disc E/M (IP/PHF/CSU/Res)",99234,45,69,null,null,1,null,"ok"]
["Prescriber Same Date Admit and Disc E/M (IP/PHF/CSU/Res)",99235,70,84,null,null,1,null,"OK"]
["Prescriber Same Date Admit and Disc E/M (IP/PHF/CSU/Res)",99236,85,106,null,null,1,null,null,"Convert to G0316 if max time is exceeded"]
["Prescriber Consult (OP)",99242,20,29,null,null,1,null,"OK"]
["Prescriber Consult (OP)",99243,30,39,null,null,1,null,"OK"]
["Prescriber Consult (OP)",99244,40,54,null,null,1,null,"ok"]
["Prescriber Consult (OP)",99245,55,69,null,null,1,"Add-on 99417","OK"]
["Review of Hospital Records",90885,31,67,null,null,1,null,"OK","Converts to T2024 if more than max minutes",{"$f":"VLOOKUP(B53,'Data Validation'!H:J,3,0)","v":60}]
["Psychological or Neuropsychological Test-Technician",96138,13,30,null,null,1,null,"OK"]
["Psychological or Neuropsychological Test Administration",96136,16,30,null,null,1,null,"ok"]
["Prenatal Risk Assessment","H1000",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},23,{"$f":"ROUND((E56*F56),0)","v":2},null,"OK"]
["Report Generation for Care Coordination",90889,8,1440,null,null,1,null,"Y"]
["Psychological or Neuropsychological Test Administration",96137,31,9999,{"$f":"1/30","v":3.3333333333333333E-2},76,{"$f":"ROUND((((1/30)*F58)-0.01),0)","v":3},null,"ok"]
["Psychological or Neuropsychological Test Administration by Tech, Each Addl",96139,31,9999,{"$f":"1/30","v":3.3333333333333333E-2},null,{"$f":"ROUND((((1/30)*F59)-0.01),0)","v":0},"Add On Code","ok"]
["Psychological Testing",96130,31,60,null,null,1,null,"Y"]
["Psychological Testing",96131,61,9999,{"$f":"1/60","v":1.6666666666666666E-2},91,{"$f":"ROUND(((E61*F61)-0.01),0)","v":2},"Add-on code","ok"]
["Psychoanalysis",90845,23,52,null,null,null,"Deleted by CMS 1/1/23","ok","Converts to T2021 if more than max minutes"]
["Psychoeducation","H2027",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E63*F63),0)","v":0},null,"OK"]
["Cognitive Testing",96125,31,67,null,null,1,null,"ok","Converts to T2024 if more than max minutes",{"$f":"VLOOKUP(B64,'Data Validation'!H:J,3,0)","v":60}]
["Care Coordination Outside System of Care","H2021",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E65*F65),0)","v":0},null,"OK"]
["Care Coordination Outside System of Care Group","H2021",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E66*F66),0)","v":0},null,"OK"]
["TCM/ICC","T1017",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},80,{"$f":"ROUND((E67*F67),0)","v":5},null,"OK"]
["Crisis Intervention","H2011",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E68*F68),0)","v":0},null,"OK"]
["Crisis Stabilization - Emergency Room Services","S9484",1,23,1,null,{"$f":"E69*F69","v":0},null,"OK"]
["Crisis Stabilization Unit","S9484",1,23,1,null,{"$f":"E70*F70","v":0},null,"OK"]
["Day Treatment Intensive - Half Day","H2012",1,3,null,null,1,null,"OK"]
["Day Treatment Intensive - Full Day","H2012",4,8,null,null,1,null,"OK"]
["Day Rehabilitation - Half Day","H2012",1,3,null,null,1,null,"OK"]
["Day Rehabilitation - Full Day","H2012",4,8,null,null,1,null,"OK"]
["Client Education","H2014",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E75*F75),0)","v":0},null,"OK"]
["Medication Training and Support","H0034",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E76*F76),0)","v":0},null,"OK"]
["Subcutaneous Infusion for Therapy or Prophylaxis, Addl Pump Set-Up, 15 Minu",96371,61,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E77*F77),0)","v":0},"Add On Code"]
["Subcutaneous Infusion for Therapy or Prophylaxis, Initial",96369,16,60,null,null,1,null,"ok"]
["Subcutaneous Infusion, Each Addl 30-60 Minutes after 96369",96370,61,9999,{"$f":"1/60","v":1.6666666666666666E-2},null,{"$f":"ROUND((E79*F79),0)","v":0},"Add On Code","ok"]
["Prescriber TMS Progress Note ",90868,61,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E80*F80),0)","v":0},"Add On Code"]
["Prescriber Progress E/M (IP/PHF/CSU/Res)",99231,25,34,null,null,1,null,"OK"]
["Prescriber Progress E/M (IP/PHF/CSU/Res)",99232,35,49,null,null,1,null,"y"]
["Prescriber Progress E/M (IP/PHF/CSU/Res)",99233,50,71,null,null,1,null,null,"Convert to G0316 if max time is exceeded"]
["E&M Nursing Facility - Established Client",99307,10,19,null,null,1,null,"OK"]
["E&M Nursing Facility - Established Client",99308,20,29,null,null,1,null,"OK"]
["E&M Nursing Facility - Established Client",99309,30,44,null,null,1,null,"OK"]
["E&M Nursing Facility - Established Client",99310,45,59,null,null,1,"Add-on code 99418","ok"]
["Prescriber Progress E/M (OP)",99212,10,19,null,null,1,"Established Patient","OK"]
["Prescriber Progress E/M (OP)",99213,20,29,null,null,1,"Established Patient","OK"]
["Prescriber Progress E/M (OP)",99214,30,39,null,null,1,"Established Patient","OK"]
["Prescriber Progress E/M (OP)",99215,40,54,null,null,1,"Established Patient","ok"]
["Telephone Assessment and Management Service",98966,5,10,null,null,1,null,"OK"]
["Telephone Assessment and Management Service",98967,11,20,null,null,1,null,"OK"]
["Telephone Assessment and Management Service",98968,21,30,null,null,1,null,"OK"]
["Prescriber Telephone E/M (OP)",99441,5,10,null,null,1,null,"OK"]
["Prescriber Telephone E/M (OP)",99442,11,20,null,null,1,null,"OK"]
["Prescriber Telephone E/M (OP)",99443,21,30,null,null,1,null,"OK"]
["Prescriber New E/M (OP)",99202,15,29,null,null,1,"New Patient","ok"]
["Prescriber New E/M (OP)",99203,30,44,null,null,1,"New Patient","OK"]
["Prescriber New E/M (OP)",99204,45,59,null,null,1,"New Patient","ok"]
["Prescriber New E/M (OP)",99205,60,74,null,null,1,"New Patient","OK"]
["Prescriber TMS Initial Note",90867,31,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E102*F102),0)","v":0},null,"OK"]
["Therapeutic, Prophylactic, or Diag Injection; Each Addl Seq Intravenous, Ne",96375,31,45,null,null,1,"Add On Code"]
["Therapeutic, Prophylactic, or Diag Injection; Each Addl Seq Intravenous, Sa",96376,31,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E104*F104),0)","v":0},null,"OK"]
["Therapeutic, Prophylactic, or Diag Injection; Single or Initial Substance/D",96374,16,30,null,null,1,null,"ok"]
["Medication Administration","H0033",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E106*F106),0)","v":0},null,"OK"]
["Therapeutic, Prophylactic, or Diagnostic Injection; Intra-Arterial",96373,1,15,null,null,1,null,"OK"]
["Prescriber TMS Calibration Note",90869,23,9999,{"$f":"1/45","v":2.2222222222222223E-2},null,{"$f":"ROUND((E108*F108),0)","v":0},null,"OK"]
["Transitional Care Management Svcs, Direct Communication within 14 calendar",99495,28,9999,{"$f":"1/54","v":1.8518518518518517E-2},null,{"$f":"ROUND(((E109*F109)-0.01),0)","v":0},null,"OK"]
["Prolonged Office or Other Outpatient EM Service(s) beyond the Maximum Time","G2212",null,null,null,null,null,"Not in CalMHSA website","Not in CalMHSA website"]
["Medication Injection",96372,1,15,null,null,1,null,"OK"]
["E&M Nursing Facility - New Client",99304,25,34,null,null,1,null,"OK"]
["E&M Nursing Facility - New Client",99305,35,44,null,null,1,null,"Y"]
["E&M Nursing Facility - New Client",99306,45,64,null,null,1,"Add-on code 99418","ok"]
["Prolonged Group Service(s) beyond the Maximum Time","G2212",null,null,null,null,null,"Not in CalMHSA website","Not in CalMHSA website"]
["Methadone - Day Service","H0020",1,1,null,null,1,null,"OK"]
["Transportation Mileage","A0140",1,9999,1,null,{"$f":"E117*F117","v":0},null,"OK"]
["non-Methadone Generic MAT Day Service","S5000",1,1,null,null,1,null,"OK"]
["Transportation, Staff Time","T2007",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E119*F119),0)","v":0},null,"OK"]
["non-Methadone Brand Name MAT Day Service","S5001",1,1,null,null,1,null,"OK"]
["Psychiatric Hospital Inpatient, Administrative Day Under 21","H0046",1,1,null,null,1,null,"OK"]
["Mobile Crisis Encounter","H2011",5,1440,null,null,1,"Per Encounter","OK"]
["Mobile Crisis Dispatch Screening","Non-Billable",null,null,null,null,null,null,"ok"]
["Behavioral Health Prevention Education service","H0025",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E124*F124),0)","v":0},null,"OK"]
["Self-help/peer service","H0038",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E125*F125),0)","v":0},null,"OK"]
["Team Case Conference with Client/Family present",99366,30,1440,null,null,1,null,"OK"]
["Crisis Inquiry","H2011",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E127*F127),0)","v":0},null,"OK"]
["Team Case Conference with Client/Family absent",99368,30,9999,null,null,1,null,"OK"]
["Residential Withdrawal Management","H0012",1,1,null,null,1,null,"OK"]
["Partial Hospitalization-Substance Use","S0201",1,23,1,null,{"$f":"E130*F130","v":0},null,"OK"]
["Medical Team Conference, Participation by Physician. Pt and/or Family Not Pr",99367,30,9999,null,null,1,null,"OK"]
["Plan Development, non-physician","H0032",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E132*F132),0)","v":0},null,"OK"]
["Psychosocial Rehab - Individual ","H2017",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E133*F133),0)","v":0},null,"OK"]
["Psychosocial Rehabilitation Group","H2017",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E134*F134),0)","v":0},null,"OK"]
["TBS","H2019",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E135*F135),0)","v":0},null,"OK"]
["Family Therapy - client present",90847,26,57,null,null,1,null,"ok","Converts to T2021 if more than max minutes"]
["Group Therapy",90853,26,57,null,null,1,null,"ok","Converts to T2021 if more than max minutes"]
["Hypnotherapy",90880,31,67,null,null,1,null,"ok","Converts to T2021 if more than max minutes"]
["Multiple-Family Group Psychotherapy",90849,43,91,null,null,1,null,"OK","Converts to T2021 if more than max minutes"]
["Psychotherapy for Crisis",90839,31,60,null,null,1,"Per Provider Charges Export Report, CPT code is H2011","Y"]
["Psychotherapy for Crisis, Each Addl 30 Minutes",90840,61,9999,{"$f":"1/30","v":3.3333333333333333E-2},210,{"$f":"ROUND((((1/30)*F141)-0.01),0)","v":7},"Add On Code","ok"]
["Individual Therapy",90832,16,37,null,null,1,null,"ok"]
["Individual Therapy",90834,38,52,null,null,1,null,"ok"]
["Individual Therapy",90837,53,67,null,null,1,"ok","ok","Converts to T2021 if more than max minutes"]
["Prescriber Discharge Day Mgmt (IP/PHF/CSU/Res)",99238,1,30,null,null,1,null,"OK"]
["Prescriber Discharge Day Mgmt (IP/PHF/CSU/Res)",99239,31,1440,null,null,1,null,"Y"]
["Principal care management services per calendar month","99424",30,59,null,null,1,null,"OK"]
["Principal care management services each additional 30 minutes","99425",60,9999,{"$f":"1/30","v":3.3333333333333333E-2},91,{"$f":"ROUNDDOWN((E148*F148),0)","v":3},null,"ok"]
["Chronic care management services each additional 30 minutes","99437",60,9999,{"$f":"1/30","v":3.3333333333333333E-2},91,{"$f":"ROUNDDOWN((E149*F149),0)","v":3},null,"ok"]
["Chronic care management services per calendar month","99491",30,59,null,null,1,null,"OK"]
["Dietician Progress Note","Non-Billable",null,null,null,null,null,null,"ok"]
["Prescriber Psychotherapy E/M",90833,16,37,null,null,1,null,"ok"]
["Prescriber Psychotherapy E/M",90836,38,52,null,null,1,null,"ok"]
["Prescriber Psychotherapy E/M",90838,53,9999,null,null,1,null,"OK"]
["Dietician Assessment","Non-Billable",null,null,null,null,null,null,"ok"]
["Prolonged clinical staff service First Hour",99415,30,9999,null,null,1,"Add On Code",null,null,null,135]
["Prolonged clinical staff service Each Addl 30 minutes",99416,46,9999,{"$f":"1/30","v":3.3333333333333333E-2},{"$f":"135-54","v":81},{"$f":"ROUND((E157*F157),0)","v":3},"Add On Code","ok",null,null,54]
["Prolonged inpatient or observation E&M service per 15 minutes",99417,15,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUNDDOWN((E158*F158),0)","v":0},"Add On Code",null,null,null,{"$f":"L156-L157","v":81}]
["Prolonged outpatient E&M service per 15 minutes",99418,16,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUNDDOWN((E159*F159),0)","v":0},"Add On Code"]
["Prolonged hospital inpatient or observation care E&M service each Addl 15 m","G0316",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E160*F160),0)","v":0},null,"OK"]
["Psychiatric Inpatient Day - Adult","H2015",1,1,null,null,1,null,"OK"]
["Psychiatric Inpatient Day - Youth","H2015",1,1,null,null,1,null,"OK"]
["Care Management Services for Behavioral Health Conditions by Physician",99484,20,1440,null,null,1,null,"OK"]
["Caregiver Assessment Administration of Care-Giver Risk Assessmt",96161,8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E164*F164),0)","v":0},null,"OK"]
["Psychiatric Inpatient Day - Older Adult","H2015",1,null,null,null,1,"Days","OK"]
["Comprehensive Community Supports","H2015",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E166*F166),0)","v":0},null,"OK"]
["Comprehensive Multidisciplinary Evaluation","H2000",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E167*F167),0)","v":0},null,"OK"]
["General Inpatient - Admin Day","H0046",1,null,null,null,1,null,"OK"]
["Psychiatric Hospital Inpatient Admin Day","H0046",1,null,null,null,1,null,"OK"]
["Psychiatric Health Facility Day","H2013",1,null,null,null,1,null,"OK"]
["Therapeutic Foster Care","S5145",1,null,null,null,1,null,"OK"]
["ECT",90870,11,27,null,null,{"$f":"ROUND(((E172*F172)-0.01),0)","v":0},null,"verify","Converts to T2021 if more than max minutes"]
["Environmental intervention for medical mgmt purposes on a psych patient's b",90882,8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E173*F173),0)","v":0},null,"OK"]
["Crisis Residential Day - Older Adult","H0018",1,null,null,null,1,null,"OK"]
["Family Therapy - client not present",90846,26,9999,{"$f":"1/50","v":0.02},null,{"$f":"ROUND(((E175*F175)-0.01),0)","v":0},null,"OK"]
["Crisis Residential Day - Adult","H0018",1,null,null,null,1,null,"OK"]
["Health Behavior Intervention - with Family",96170,16,30,null,null,1,null,"ok"]
["Health behavior intervention, family (patient not present)Each Addl 15 Min",96171,38,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E178*F178),0)","v":0},"Add On Code"]
["Home Visit of a New Patient",99341,15,29,null,null,1,null,"ok"]
["Home Visit of a New Patient",99342,30,59,null,null,1,null,"OK"]
["Home Visit of a New Patient",99344,60,74,null,null,1,null,"OK"]
["Home Visit of a New Patient",99345,75,89,null,null,1,"Add-on 99417","OK"]
["Home Visit of an Established Patient",99347,20,29,null,null,1,null,"OK"]
["Home Visit of an Established Patient",99348,30,39,null,null,1,null,"OK"]
["Home Visit of an Established Patient",99349,40,59,null,null,1,null,"ok"]
["Home Visit of an Established Patient",99350,60,74,null,null,1,"Add-on 99417","OK"]
["Crisis Residential Day - Youth","H0018",1,null,null,null,1,null,"OK"]
["Individual phys supervisory of a patient (pt not present) in home. Each Add",99340,null,null,null,null,null,"Deleted by CMS 1/1/23","Deleted by CMS 1/1/23"]
["Individual physician supervisory of a patient (patient not present) in home",99339,null,null,null,null,null,"Deleted by CMS 1/1/23","Deleted by CMS 1/1/23"]
["E&M Nursing Facility (professional fees)",99304,25,34,null,null,1,null,"OK"]
["E&M Nursing Facility (professional fees)",99305,35,49,null,null,1,null,"y"]
["E&M Nursing Facility (professional fees)",99306,50,64,null,null,1,"Add-on code 99418","Y"]
["Prescriber Consult (IP/PHF/CSU/Res)",99252,35,44,null,null,1,null,"Y"]
["Prescriber Consult (IP/PHF/CSU/Res)",99253,45,59,null,null,1,null,"ok"]
["Prescriber Consult (IP/PHF/CSU/Res)",99254,60,74,null,null,1,null,"OK"]
["Prescriber Consult (IP/PHF/CSU/Res)",99255,80,94,null,null,1,"Add-on code 99418","OK"]
["Adult Residential Day - Older Adult","H0019",1,null,null,null,1,null,"OK"]
["Adult Residential Day","H0019",1,null,null,null,1,null,"OK"]
["Interactive Complexity",90785,1,9999,null,null,1,null,"OK"]
["Interpretation or Explanation of Results of Psychiatric or Other Medical",90887,26,9999,null,null,1,null,"OK"]
["Sign Language or Oral Interpretive Services","T1013",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E201*F201),0)","v":0},null,"OK"]
["Mobile Crisis Follow-Up","Non-Billable",null,null,null,null,null,null,"ok"]
["General Outreach","Non-Billable",null,null,null,null,null,null,"ok"]
["Targeted Outreach","Non-Billable",null,null,null,null,null,null,"ok"]
["Quality Improvement Activities","Non-Billable",null,null,null,null,null,null,"ok"]
["Consults to External Providers (Non-billable)","Non-Billable",null,null,null,null,null,null,"ok"]
["Transportation","Non-Billable",null,null,null,null,null,null,"ok"]
["Client Non Billable Srvc Must Document","Non-Billable",null,null,null,null,null,null,"ok"]
["Psychiatric Procedure (IP/PHF/CSU/Res)","Non-Billable",null,null,null,null,null,null,"ok"]
["Shift Summary","Non-Billable",null,null,null,null,null,null,"ok"]
["Non-Billable Bed Procedure","Non-Billable",null,null,null,null,null,null,"ok"]
["Brief Contact Note","Non-Billable",null,null,null,null,null,null,"ok"]
["Residential Daily Note","Non-Billable",null,null,null,null,null,null,"ok"]
["Non-Billable Attempted Contact","Non-BIllable",null,null,null,null,null,null,"ok"]
["Attestation Note","Non-Billable",null,null,null,null,null,null,"ok"]
["Residential Treatment -Substance Use","H0019",1,null,null,null,1,null,"OK"]
["Medical Non-Billable Note","Non-Billable",null,null,null,null,null,null,"ok"]
["Legal Report Writing Note","Non-Billable",null,null,null,null,null,null,"ok"]
["CARE Act - Notice Activity","Non-Billable",null,null,null,null,null,null,"ok"]
["CARE Act - Outreach and Engagement","Non-Billable",null,null,null,null,null,null,"ok"]
["CARE Act - Court Report Activity","Non-Billable",null,null,null,null,null,null,"ok"]
["CARE Act - Hearing Time","Non-Billable",null,null,null,null,null,null,"ok"]
["Prev Prob Identification-AOD","Non-Billable",null,null,null,null,null,null,"ok"]
["Prev Education-AOD","Non-Billable",null,null,null,null,null,null,"ok"]
["Prev Community Based-AOD","Non-Billable",null,null,null,null,null,null,"ok"]
["Prev Info Dissemination-AOD","Non-Billable",null,null,null,null,null,null,"ok"]
["Prev Environ Strategy-AOD","Non-Billable",null,null,null,null,null,null,"ok"]
["Prev-Alternatives-AOD","Non-Billable",null,null,null,null,null,null,"ok"]
["Quality Assurance-AOD","Non-Billable",null,null,null,null,null,null,"ok"]
["CARE Act - Data Reporting","Non-Billable",null,null,null,null,null,null,"ok"]
["PEI Outreach","Non-Billable",null,null,null,null,null,null,"ok"]
["Room and Board","Non-Billable",null,null,null,null,null,null,"ok"]
["Bed Hold Day","Non-Billable",null,null,null,null,null,null,"ok"]
["Nurse Progress Note (IP/PHF/CSU/Res)","Non-Billable",null,null,null,null,null,null,"ok"]
["Behavioral Health Prevention Education Group","H0025",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E235*F235),0)","v":0},null,"ok"]
["Ambulatory WM - Level 1","H0014",1,null,null,null,{"$f":"F236*1","v":0}]
["Ambulatory WM - Level 2","H0014",1,null,null,2,{"$f":"F237*1","v":2}]
["Electronic Based Psych Assessment",96146,31,67,null,null,1,null,"OK","Converts to T2024 if more than max minutes",{"$f":"VLOOKUP(B238,'Data Validation'!H:J,3,0)","v":60}]
["Prescriber Admit E/M (IP/PHF/Res)",99221,40,54,null,null,null,null,"ok"]
["Prescriber Admit E/M (IP/PHF/Res)",99222,55,74,null,null,null,null,"OK"]
["Prescriber Admit E/M (IP/PHF/Res)",99223,75,96,null,null,null,null,null,"Convert to G0316 if max time is exceeded"]
["Functional Family Therapy","H0036",8,9999,{"$f":"1/15","v":6.6666666666666666E-2},null,{"$f":"ROUND((E242*F242),0)","v":0},"Every 15 mins.","ok"]
["Education and training for patient self-management - Individual",98960,30,9999,{"$f":"1/30","v":3.3333333333333333E-2},45,{"$f":"ROUNDDOWN((E243*F243),0)","v":1},"Every 30 mins","ok"]
["Education and training for patient self-management - 2-4 Patients",98961,30,9999,{"$f":"1/30","v":3.3333333333333333E-2},65,{"$f":"ROUNDDOWN((E244*F244),0)","v":2},null,"ok"]
["Education and training for patient self-management - 5-8 Patients",98962,30,9999,{"$f":"1/30","v":3.3333333333333333E-2},null,{"$f":"ROUNDDOWN((E245*F245),0)","v":0},null,"ok"]
["To add:"]
["Clubhouse","H2031",3,null,null,null,null,"3 hrs minimum.Not yet included on the Charge formula"]
[null,96202,null,null,null,null,null,"not in Smartcare crosswalk",null,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes"]
[null,96203,null,null,null,null,null,"not in CalMHSA crosswalk. Add-on to 96202",null,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes"]
[null,97550,null,null,null,null,null,"not in Smartcare crosswalk",null,"Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes"]
[null,97551,null,null,null,null,null,"not in Smartcare crosswalk"]
[null,97552,null,null,null,null,null,"not in Smartcare crosswalk"]
[null,"G0323",null,null,null,null,null,"not in Smartcare crosswalk"]
[null,"G0539",null,null,null,null,null,"not in Smartcare crosswalk"]
[null,"G0540",null,null,null,null,null,"not in Smartcare crosswalk"]
[null,"G0541",null,null,null,null,null,"not in Smartcare crosswalk"]
[null,"G0542",null,null,null,null,null,"not in Smartcare crosswalk"]
[null,"G0543",null,null,null,null,null,"not in Smartcare crosswalk"]
[null,"T2021",null,null,null,null,null,"not in Smartcare crosswalk"]
[null,"T2024",null,null,null,null,null,"not in Smartcare crosswalk"]
[null,"G0019",null,null,null,null,null,"not in Smartcare crosswalk"]
[null,"G0022",null,null,null,null,null,"not in Smartcare crosswalk"]

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{"sheet":"Summary","index":4,"n_rows":751,"n_cols":12,"rows_kept":751,"cut":false,"hidden":false,"merged":[[0,0,0,11]]}
["Client Services Report Summary"]
[null,null,null,null,"Report Date:",{"$f":"TODAY()","v":"2025-08-28"}]
[]
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[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,{"$f":"+Table1[[#This Row],[Billable Minutes/Units]]+Table1[[#This Row],[Add-On Billable Minutes/Units]]","v":0}]
["Total",null,null,null,null,null,null,null,{"$f":"SUBTOTAL(9,Table1[Billable Minutes/Units])","v":0},null,{"$f":"SUBTOTAL(9,Table1[Add-On Billable Minutes/Units])","v":0},{"$f":"SUBTOTAL(9,Table1[Total Billable Minutes/Units])","v":0}]

{"sheet":"Add On Codes","index":5,"n_rows":14,"n_cols":2,"rows_kept":14,"cut":false,"hidden":true,"merged":[]}
["Sign Language or Oral Interpretive Services","Other Line"]
["Interpretation or Explanation of Results of Psychiatric or Other Medical","Other Line"]
["Prescriber Psychotherapy E/M","Other Line"]
["Interactive Complexity","Other Line"]
["Psychotherapy for Crisis, Each Addl 30 Minutes","Okay"]
["Prolonged clinical staff service First Hour","Okay"]
["Prolonged clinical staff service Each Addl 30 minutes","Okay"]
["Caregiver Assessment Administration of Care-Giver Risk Assessmt","N/A"]
["Transportation Mileage","Other Line"]
["Transportation, Staff Time","Other Line"]
["Crisis Stabilization - Extended Hours","Calculated in CSU Template"]
["Psychological or Neuropsychological Test Administration, Each Addl 30 Minut","Included in Original CPT Code"]
["Psychological Testing Evaluation, Each Addl Hour","Included in Original CPT Code"]
["Neuropsychological Testing Evaluation, Each Addl Hour","Included in Original CPT Code"]

{"sheet":"Data Validation","index":6,"n_rows":188,"n_cols":18,"rows_kept":188,"cut":false,"hidden":true,"merged":[]}
["Procedure Name Displayed in EHR","CPT/HCPCS (Not including modifiers)",null,null,null,null,null,"BillingCode","Description","Minutes for Rate","Group/Individual","Unit Type",null,null,"Add-On Codes Procedure Name Displayed in EHR","CPT/HCPCS (Not including modifiers)","Minutes Per Rate","Unit Type"]
["Health Risk Assessment",96160,null,null,null,null,null,90785,"Interactive complexity. There is no assigned time for this code.",1,null,"Encounter",null,null,"Prolonged clinical staff service First Hour",99415,60,"Minutes"]
["SUD Screening","H0001",null,null,null,null,null,90791,"Psychiatric diagnostic evaluation, 60 minutes",60,null,"Minutes",null,null,"Psychotherapy for Crisis, Each Addl 30 Minutes",90840,30,"Minutes"]
["Alcohol and/or drug screening","H0049",null,null,null,null,null,90792,"Psychiatric diagnostic evaluation with medical services, 60 minutes",60,null,"Minutes",null,null,"Prolonged clinical staff service Each Addl 30 minutes",99416,30,"Minutes"]
["Alcohol and/or drug screening. Laboratory analysis","H0003",null,null,null,null,null,90832,"Psychotherapy, 30 minutes with patient",30,null,"Minutes",null,null,"Prolonged hospital inpatient or observation care E&M service each Addl 15 m","G0316",15,"Minutes"]
["Contingency Management","H0050",null,null,null,null,null,90833,"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service",30,null,"Minutes",null,null,"Prolonged inpatient or observation E&M service per 15 minutes",99417,15,"Minutes"]
["SUD Crisis Intervention","H0007",null,null,null,null,null,90834,"Psychotherapy, 45 minutes with patient",45,null,"Minutes",null,null,"Prolonged outpatient E&M service per 15 minutes",99418,15,"Minutes"]
["Group Counseling","H0005",null,null,null,null,null,90836,"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service",45,null,"Minutes"]
["Acute Detox (hospital inpatient)","H0009",null,null,null,null,null,90837,"Psychotherapy, 60 minutes with patient",60,null,"Minutes"]
["Sub-acute detox (hospital inpatient)","H0008",null,null,null,null,null,90838,"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service",60,null,"Minutes"]
["Lab Specimen Collection","H0048",null,null,null,null,null,90839,"Psychotherapy for crisis; first hour",60,null,"Minutes"]
["AOD Treatment","H2035",null,null,null,null,null,90840,"Psychotherapy for crisis; each additional 30 minutes",30,null,"Minutes"]
["Family/Couple Counseling","T1006",null,null,null,null,null,90845,"Psychoanalysis, 45 minutes",45,null,"Minutes"]
["Discharge Planning","T1007",null,null,null,null,null,90847,"Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes",50,null,"Minutes"]
["Application of On-body Injector for Timed Subcutaneous Injection",96377,null,null,null,null,null,90849,"Multiple-family group psychotherapy, 84 minutes",84,"Group","Minutes"]
[null,null,null,null,null,null,null,90853,"Group psychotherapy (other than of a multiple-family group), 50 minutes",50,"Group","Minutes"]
["Individual Counseling","H0004",null,null,null,null,null,90865,"Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes",90,null,"Minutes"]
["Physician-to-Physician Consult",99451,null,null,null,null,null,90867,"Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes",60,null,"Minutes"]
["Intravenous Infusion,  Addl Seq Inf, 1-60 Minutes after 96365",96367,null,null,null,null,null,90868,"Subsequent delivery and management of TMS, per session, 15 minutes",15,null,"Minutes"]
["Intravenous Infusion,  Concurrent Infusion",96368,null,null,null,null,null,90869,"TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes",45,null,"Minutes"]
["Intravenous Infusion, for Therapy, Prophylaxis, Each Addl 30-60 Minutes pas",96366,null,null,null,null,null,90870,"Electrocunvulsive therapy (includes necessary monitoring), 20 minutes",20,null,"Minutes"]
["Intravenous Infusion, for Therapy, Prophylaxis, or Diagnosis",96365,null,null,null,null,null,90880,"Hypnotherapy, 60 minutes",60,null,"Minutes"]
[null,null,null,null,null,null,null,90885,"Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes",60,null,"Minutes"]
["CFT/MDT Meeting","H2000",null,null,null,null,null,90887,"Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes",50,null,"Minutes"]
[null,null,null,null,null,null,null,96105,"Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour",60,null,"Minutes"]
["Developmental Testing",96112,null,null,null,null,null,96110,"Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes",60,null,"Minutes"]
["Medication Therapy Management Service(s) by a Pharmacist each Addl 15 Minut",99607,null,null,null,null,null,96112,"Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour",60,null,"Minutes"]
["Pharmacist Med Mgmt Progress Note",99606,null,null,null,null,null,96113,"Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes",30,null,"Minutes"]
["Pharmacist Med Mgmt Assessment",99605,null,null,null,null,null,96116,"Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour",60,null,"Minutes"]
["Developmental Testing, Each Addl 30 Minutes",96113,null,null,null,null,null,96121,"Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour",60,null,"Minutes"]
["Assessment Contribution","H0031",null,null,null,null,null,96125,"Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report",60,null,"Minutes"]
["Neurobehavioral Status Exam",96116,null,null,null,null,null,96127,"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes",60,null,"Minutes"]
["Neurobehavioral Status Exam, Each Addl Hour",96121,null,null,null,null,null,96130,"Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour",60,null,"Minutes"]
["Nacrosynthesis for Psychiatric Diagnostic and Therapeutic Purposes",90865,null,null,null,null,null,96131,"Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour",60,null,"Minutes"]
[null,null,null,null,null,null,null,96132,"Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour",60,null,"Minutes"]
[null,null,null,null,null,null,null,96133,"Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour",60,null,"Minutes"]
["Nurse Assessment","T1001",null,null,null,null,null,96136,"Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes",30,null,"Minutes"]
["Observation Care Discharge Day Management",99217,null,null,null,null,null,96137,"Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes",30,null,"Minutes"]
[null,null,null,null,null,null,null,96138,"Psychological or Neuropsychological (2 or more) Tests Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; In person (Administration) & Scoring, first 30 minutes",30,null,"Minutes"]
["Psychological or Neuropsychological Test-Technician",96138,null,null,null,null,null,96139,"Psychological or Neuropsychological (2 or more) Tests Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; In person (Administration) & Scoring, each additional 30 minutes",30,null,"Minutes"]
["Prenatal Risk Assessment","H1000",null,null,null,null,null,96146,"Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes",60,null,"Minutes"]
["Report Generation for Care Coordination",90889,null,null,null,null,null,96161,"Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes",15,null,"Minutes"]
["Psychological or Neuropsychological Test Administration by Tech, Each Addl",96139,null,null,null,null,null,96365,"Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour",46,null,"Minutes"]
[null,null,null,null,null,null,null,96366,"Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour",45,null,"Minutes"]
["Psychoeducation","H2027",null,null,null,null,null,96367,"Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour",31,null,"Minutes"]
[null,null,null,null,null,null,null,96368,"Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes",15,null,"Minutes"]
["Care Coordination Outside System of Care","H2021",null,null,null,null,null,96369,"Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes  (For infusions of 15 minutes or less, use 96372)",38,null,"Minutes"]
["Care Coordination Outside System of Care Group","H2021",null,null,null,null,null,96370,"Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour",45,null,"Minutes"]
["TCM/ICC","T1017",null,null,null,null,null,96371,"Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes",15,null,"Minutes"]
["Crisis Intervention","H2011",null,null,null,null,null,96372,"Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes",15,null,"Minutes"]
["Crisis Stabilization - Emergency Room Services","S9484",null,null,null,null,null,96373,"Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes",15,null,"Minutes"]
["Crisis Stabilization Unit","S9484",null,null,null,null,null,96374,"Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes",15,null,"Minutes"]
["Day Treatment Intensive - Half Day","H2012",null,null,null,null,null,96375,"Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes",15,null,"Minutes"]
["Day Treatment Intensive - Full Day","H2012",null,null,null,null,null,96376,"Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug",15,null,"Minutes"]
["Day Rehabilitation - Half Day","H2012",null,null,null,null,null,96377,"Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes",15,null,"Minutes"]
["Day Rehabilitation - Full Day","H2012",null,null,null,null,null,98966,"Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.",8,null,"Minutes"]
["Client Education","H2014",null,null,null,null,null,98967,"Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.",16,null,"Minutes"]
["Medication Training and Support","H0034",null,null,null,null,null,98968,"Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.",26,null,"Minutes"]
["Subcutaneous Infusion for Therapy or Prophylaxis, Addl Pump Set-Up, 15 Minu",96371,null,null,null,null,null,99202,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. 15-29 minutes total time on the date of the encounter.",22,null,"Minutes"]
["Subcutaneous Infusion for Therapy or Prophylaxis, Initial",96369,null,null,null,null,null,99203,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. 30-44 minutes total time on the date of the encounter.",37,null,"Minutes"]
["Subcutaneous Infusion, Each Addl 30-60 Minutes after 96369",96370,null,null,null,null,null,99204,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. 45-59 minutes total time on the date of the encounter.",52,null,"Minutes"]
["Prescriber TMS Progress Note ",90868,null,null,null,null,null,99205,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. 60-74 minutes total time on the date of the encounter.",67,null,"Minutes"]
["Prescriber TMS Initial Note",90867,null,null,null,null,null,99212,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. 10-19 minutes total time on the date of the encounter.",15,null,"Minutes"]
["Therapeutic, Prophylactic, or Diag Injection; Each Addl Seq Intravenous, Ne",96375,null,null,null,null,null,99213,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. 20-29 minutes total time on the date of the encounter.",25,null,"Minutes"]
["Therapeutic, Prophylactic, or Diag Injection; Each Addl Seq Intravenous, Sa",96376,null,null,null,null,null,99214,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. 30-39 minutes total time on the date of the encounter.",35,null,"Minutes"]
["Therapeutic, Prophylactic, or Diag Injection; Single or Initial Substance/D",96374,null,null,null,null,null,99215,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. 40-54 minutes total time on the date of the encounter.",47,null,"Minutes"]
["Medication Administration","H0033",null,null,null,null,null,99221,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. 40-54 minutes total time on the date of the encounter.",47,null,"Minutes"]
["Therapeutic, Prophylactic, or Diagnostic Injection; Intra-Arterial",96373,null,null,null,null,null,99222,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. 55-74 minutes total time on the date of the encounter.",65,null,"Minutes"]
["Prescriber TMS Calibration Note",90869,null,null,null,null,null,99223,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. 75-89 minutes total time on the date of the encounter.",82,null,"Minutes"]
["Transitional Care Management Svcs, Direct Communication within 14 calendar",99495,null,null,null,null,null,99231,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. 25-34 minutes total time on the date of the encounter.",30,null,"Minutes"]
["Prolonged Office or Other Outpatient EM Service(s) beyond the Maximum Time","G2212",null,null,null,null,null,99232,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. 35-49 minutes total time on the date of the encounter.",42,null,"Minutes"]
["Medication Injection",96372,null,null,null,null,null,99233,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. 50-64 minutes total time on the date of the encounter.",57,null,"Minutes"]
["Prolonged Group Service(s) beyond the Maximum Time","G2212",null,null,null,null,null,99234,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. 45-69 minutes total time on the date of the encounter.",57,null,"Minutes"]
["Methadone - Day Service","H0020",null,null,null,null,null,99235,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and moderate level of medical decision making. 70-84 minutes total time on the date of the encounter.",77,null,"Minutes"]
["Transportation Mileage","A0140",null,null,null,null,null,99236,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and high level of medical decision making. 85-99 minutes total time on the date of the encounter.",92,null,"Minutes"]
["non-Methadone Generic MAT Day Service","S5000",null,null,null,null,null,99238,"Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter",30,null,"Minutes"]
["Transportation, Staff Time","T2007",null,null,null,null,null,99239,"Hospital inpatient or observation discharge day management; 31-1440 minutes on the date of the encounter",60,null,"Minutes"]
["non-Methadone Brand Name MAT Day Service","S5001",null,null,null,null,null,99242,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. 20-29 minutes total time on the date of the encounter.",25,null,"Minutes"]
["Psychiatric Hospital Inpatient, Administrative Day Under 21","H0046",null,null,null,null,null,99243,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. 30-39 minutes total time on the date of the encounter.",35,null,"Minutes"]
["Mobile Crisis Encounter","H2011",null,null,null,null,null,99244,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making.40-54 minutes total time on the date of the encounter.",47,null,"Minutes"]
["Mobile Crisis Dispatch Screening","Non-Billable",null,null,null,null,null,99245,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. 55-69 minutes total time on the date of the encounter.",62,null,"Minutes"]
["Behavioral Health Prevention Education service","H0025",null,null,null,null,null,99252,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. 35-44 minutes total time on the date of the encounter.",40,null,"Minutes"]
["Self-help/peer service","H0038",null,null,null,null,null,99253,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. 45-59 minutes total time on the date of the encounter.",52,null,"Minutes"]
["Team Case Conference with Client/Family present",99366,null,null,null,null,null,99254,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. 60-79 minutes total time on the date of the encounter.",70,null,"Minutes"]
["Crisis Inquiry","H2011",null,null,null,null,null,99255,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. 80-94 minutes total time on the date of the encounter.",87,null,"Minutes"]
["Team Case Conference with Client/Family absent",99368,null,null,null,null,null,99304,"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. 25-34 minutes total time on the date of the encounter.",30,null,"Minutes"]
["Residential Withdrawal Management","H0012",null,null,null,null,null,99305," Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. 35-49 minutes total time on the date of the encounter.",42,null,"Minutes"]
["Partial Hospitalization-Substance Use","S0201",null,null,null,null,null,99306,"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. 50-64 minutes total time on the date of the encounter.",57,null,"Minutes"]
["Medical Team Conference,Participation by Physician. Pt and/or Family Not Pr",99367,null,null,null,null,null,99307,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. 10-19 minutes total time on the date of the encounter for code selection.",15,null,"Minutes"]
["Plan Development, non-physician","H0032",null,null,null,null,null,99308,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. 20-29 minutes total time on the date of the encounter.",25,null,"Minutes"]
["Psychosocial Rehab - Individual ","H2017",null,null,null,null,null,99309,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. 30-44 minutes total time on the date of the encounter. ",37,null,"Minutes"]
["Psychosocial Rehabilitation Group","H2017",null,null,null,null,null,99310," Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. 45-59 minutes total time on the date of the encounter.",52,null,"Minutes"]
["TBS","H2019",null,null,null,null,null,99341,"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. 15-29 minutes total time on the date of the encounter.",22,null,"Minutes"]
[null,null,null,null,null,null,null,99342,"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. 30-59 minutes total time on the date of the encounter.",45,null,"Minutes"]
[null,null,null,null,null,null,null,99344," Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. 60-74 minutes total time on the date of the encounter.",67,null,"Minutes"]
[null,null,null,null,null,null,null,99345,"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. 75-89 minutes total time on the date of the encounter.",82,null,"Minutes"]
[null,null,null,null,null,null,null,99347,"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. 20-29 minutes total time on the date of the encounter.",25,null,"Minutes"]
["Psychotherapy for Crisis",90839,null,null,null,null,null,99348,"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. 30-39 minutes total time on the date of the encounter.",35,null,"Minutes"]
["Psychotherapy for Crisis, Each Addl 30 Minutes",90840,null,null,null,null,null,99349," Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. 40-59 minutes total time on the date of the encounter.",50,null,"Minutes"]
["Principal care management services per calendar month","99424",null,null,null,null,null,99350,"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. 60-74 minutes total time on the date of the encounter.",67,null,"Minutes"]
["Principal care management services each additional 30 minutes","99425",null,null,null,null,null,99366,"Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30-1440 minutes, participation by nonphysician qualified health care professional",60,null,"Minutes"]
["Chronic care management services each additional 30 minutes","99437",null,null,null,null,null,99367,"Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by physician",60,null,"Minutes"]
["Chronic care management services per calendar month","99491",null,null,null,null,null,99368,"Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional",60,null,"Minutes"]
["Dietician Progress Note","Non-Billable",null,null,null,null,null,99415,"Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour",60,null,"Minutes"]
["Dietician Assessment","Non-Billable",null,null,null,null,null,99416,"Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes",30,null,"Minutes"]
["Prolonged clinical staff service First Hour",99415,null,null,null,null,null,99417,"Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).",15,null,"Minutes"]
["Prolonged clinical staff service Each Addl 30 minutes",99416,null,null,null,null,null,99418,"Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).",15,null,"Minutes"]
["Prolonged inpatient or observation E&M service per 15 minutes",99417,null,null,null,null,null,99441,"Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion",8,null,"Minutes"]
["Prolonged outpatient E&M service per 15 minutes",99418,null,null,null,null,null,99442,"Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion",16,null,"Minutes"]
["Prolonged hospital inpatient or observation care E&M service each Addl 15 m","G0316",null,null,null,null,null,99443,"Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion",26,null,"Minutes"]
["Psychiatric Inpatient Day - Adult","H2015",null,null,null,null,null,99451,"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written report to the patient's treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time (5-30 minutes)",18,null,"Minutes"]
["Psychiatric Inpatient Day - Youth","H2015",null,null,null,null,null,99484,"Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team, 20-1440 minutes.",60,null,"Minutes"]
["Care Management Services for Behavioral Health Conditions by Physician",99484,null,null,null,null,null,99605,"Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient",15,null,"Minutes"]
["Caregiver Assessment Administration of Care-Giver Risk Assessmt",96161,null,null,null,null,null,99606," Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient",15,null,"Minutes"]
["Psychiatric Inpatient Day - Older Adult","H2015",null,null,null,null,null,99607,"Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes",15,null,"Minutes"]
["Comprehensive Community Supports","H2015",null,null,null,null,null,"G0316","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact",15,null,"Minutes"]
["Comprehensive Multidisciplinary Evaluation","H2000",null,null,null,null,null,"H0025","Behavior health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) [Peer Support group session], 15 minutes",15,"Group","Minutes"]
["General Inpatient - Admin Day","H0046",null,null,null,null,null,"H0031","Mental health assessment by nonphysician, 15 minutes",15,null,"Minutes"]
["Psychiatric Hospital Inpatient Admin Day","H0046",null,null,null,null,null,"H0032","Mental health service plan development by non-physicians, 15 minutes",15,null,"Minutes"]
["Psychiatric Health Facility Day","H2013",null,null,null,null,null,"H0033","Medication administration, direct observation, 15 minutes",15,null,"Minutes"]
["Therapeutic Foster Care","S5145",null,null,null,null,null,"H0034","Medication training and support, 15 minutes",15,"See Modifier HQ","Minutes"]
[null,null,null,null,null,null,null,"H0038","Self-help/peer services (individual) 15 minutes",15,null,"Minutes"]
["Environmental intervention for medical mgmt purposes on a psych patient's b",90882,null,null,null,null,null,"H2000","Comprehensive multidisciplinary evaluation, 15 minutes",15,null,"Minutes"]
["Family Therapy - client not present",90846,null,null,null,null,null,"H2011","Crisis intervention service, 15 minutes",15,null,"Minutes"]
["Health Behavior Intervention - with Family",96170,null,null,null,null,null,"H2017","Psychosocial rehabilitation, 15 minutes",15,"See Modifier HQ","Minutes"]
["Health behavior intervention, family (patient not present)Each Addl 15 Min",96171,null,null,null,null,null,"H2019","Therapeutic behavioral services, 15 minutes",15,null,"Minutes"]
["Individual phys supervisory of a patient (pt not present) in home. Each Add",99340,null,null,null,null,null,"H2021","Community-based wrap-around services (coordination with other programs),15 minutes",15,null,"Minutes"]
["Individual physician supervisory of a patient (patient not present) in home",99339,null,null,null,null,null,"T1001","Nursing assessment/ evaluation, 15 minutes",15,null,"Minutes"]
["Interactive Complexity",90785,null,null,null,null,null,"T1013","Sign language or oral interpretive services, 15 minutes",15,null,"Minutes"]
["Interpretation or Explanation of Results of Psychiatric or Other Medical",90887,null,null,null,null,null,"T1017","Targeted case management, 15 minutes",15,null,"Minutes"]
["Sign Language or Oral Interpretive Services","T1013",null,null,null,null,null,"T2021","Therapy substitute, 15 minutes",15,"See Modifier HQ","Minutes"]
["Mobile Crisis Follow-Up","Non-Billable",null,null,null,null,null,"T2024","Assessment substitute, 15 minutes",15,null,"Minutes"]
["General Outreach","Non-Billable",null,null,null,null,null,"H0018","Adult Crisis Residential",1,null,"Days"]
["Targeted Outreach","Non-Billable",null,null,null,null,null,"H0019","Adult Residential",1,null,"Days"]
["Quality Improvement Activities","Non-Billable",null,null,null,null,null,"H2013","Psychiatric Health Facility",1,null,"Days"]
["Consults to External Providers (Non-billable)","Non-Billable",null,null,null,null,null,"H2012","Day Rehabilitation: Full Day",1,null,"Days"]
["Transportation","Non-Billable",null,null,null,null,null,"S9484","Crisis Stabilization",1,null,"Days"]
["Client Non Billable Srvc Must Document","Non-Billable",null,null,null,null,null,"A0140","Transportation mileage",1,null,"Miles"]
["Psychiatric Procedure (IP/PHF/CSU/Res)","Non-Billable",null,null,null,null,null,"T2007","Transportation, staff time, per 15 minutes",1]
["Shift Summary","Non-Billable",null,null,null,null,null,"H0046","Psychiatric Hospital Inpatient: Administrative Day ",1,null,"Days"]
["Non-Billable Bed Procedure","Non-Billable",null,null,null,null,null,"S5145","Therapeutic Foster Care",1,null,"Days"]
["Brief Contact Note","Non-Billable",null,null,null,null,null,90846,"Family Psychotherapy (Without the Patient Present), 50 minutes",50,null,"Minutes"]
["Residential Daily Note","Non-Billable",null,null,null,null,null,90882,"Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes",15,null,"Minutes"]
["Non-Billable Attempted Contact","Non-BIllable",null,null,null,null,null,90889,"Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes",15,null,"Minutes"]
["Attestation Note","Non-Billable",null,null,null,null,null,96160,"Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes",15,null,"Minutes"]
["Medical Non-Billable Note","Non-Billable",null,null,null,null,null,96170,"Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes",30,null,"Minutes"]
["Legal Report Writing Note","Non-Billable",null,null,null,null,null,96171,"Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes",15,null,"Minutes"]
["CARE Act - Notice Activity","Non-Billable",null,null,null,null,null,99408,"Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes.",23,null,"Minutes"]
["CARE Act - Outreach and Engagement","Non-Billable",null,null,null,null,null,99409,"Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes.",60,null,"Minutes"]
["CARE Act - Court Report Activity","Non-Billable",null,null,null,null,null,99424,"Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.",30,null,"Minutes"]
["CARE Act - Hearing Time","Non-Billable",null,null,null,null,null,99425,"Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.",30,null,"Minutes"]
["Prev Prob Identification-AOD","Non-Billable",null,null,null,null,null,99437,"Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.",30,null,"Minutes"]
["Prev Education-AOD","Non-Billable",null,null,null,null,null,99491,"Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.",30,null,"Minutes"]
["Prev Community Based-AOD","Non-Billable",null,null,null,null,null,99495,"Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes",54,null,"Minutes"]
["Prev Info Dissemination-AOD","Non-Billable",null,null,null,null,null,99496,"Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes",75,null,"Minutes"]
["Prev Environ Strategy-AOD","Non-Billable",null,null,null,null,null,"G0396","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes",23,null,"Minutes"]
["Prev-Alternatives-AOD","Non-Billable",null,null,null,null,null,"G0397","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes",60,null,"Minutes"]
["Quality Assurance-AOD","Non-Billable",null,null,null,null,null,"G2011","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes",10,null,"Minutes"]
["CARE Act - Data Reporting","Non-Billable",null,null,null,null,null,"H0001","Alcohol and/or drug assessment, 15 minutes",15,null,"Minutes"]
["PEI Outreach","Non-Billable",null,null,null,null,null,"H0003","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes",15,null,"Minutes"]
["Room and Board","Non-Billable",null,null,null,null,null,"H0004","Behavioral health counseling and therapy, 15 minutes",15,null,"Minutes"]
["Bed Hold Day","Non-Billable",null,null,null,null,null,"H0005","Alcohol and/or drug services; group counseling by a clinician, 15 minutes",15,"Group","Minutes"]
["Nurse Progress Note (IP/PHF/CSU/Res)","Non-Billable",null,null,null,null,null,"H0007","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes",15,null,"Minutes"]
["Behavioral Health Prevention Education Group","H0025",null,null,null,null,null,"H0008","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes",15,null,"Minutes"]
[null,null,null,null,null,null,null,"H0009","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes",15,null,"Minutes"]
["Functional Family Therapy","H0036",null,null,null,null,null,"H0048","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes",15,null,"Minutes"]
["Education and training for patient self-management - Individual",98960,null,null,null,null,null,"H0049","Alcohol and/or drug screening, 15 minutes",15,null,"Minutes"]
["Education and training for patient self-management - 2-4 Patients",98961,null,null,null,null,null,"H0050","Alcohol and/or Drug Services, brief intervention, 15 minutes",15,null,"Minutes"]
["Education and training for patient self-management - 5-8 Patients",98962,null,null,null,null,null,"H1000","Prenatal Care, at risk assessment, 15 minutes",15,null,"Minutes"]
["Medication Training and Support Group","H0034",null,null,null,null,null,"H2014","Skills training and development, 15 minutes",15,"See Modifier HQ","Minutes"]
[null,null,null,null,null,null,null,"H2015","Comprehensive community support services, 15 minutes",15,null,"Minutes"]
[null,null,null,null,null,null,null,"H2027","Psychoeducational Service, 15 minutes",15,null,"Minutes"]
[null,null,null,null,null,null,null,"H2035","Alcohol and/or other drug treatment program, per hour",60,null,"Minutes"]
[null,null,null,null,null,null,null,"T1006","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes",15,null,"Minutes"]
[null,null,null,null,null,null,null,"T1007","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes",15,null,"Minutes"]
[null,null,null,null,null,null,null,"H0012","Alcohol and Drug Services; (Residential Addiction Outpatient). Sub-Acute Detoxification 3.2",1,null,"Days"]
[null,null,null,null,null,null,null,"H0020","Methadone Alcohol and/or drug services; methadone administration",1]
[null,null,null,null,null,null,null,"H0014","Ambulatory Withdrawal Management",1,null,"Days"]
[null,null,null,null,null,null,null,"S5000","Buprenorphine Mono 54017613",1]
[null,null,null,null,null,null,null,"S5001","Naloxone HCL - 2 pack Narcan 69547035302",1]
[null,null,null,null,null,null,null,"H0036",null,15,null,"Minutes"]
[null,null,null,null,null,null,null,"H2031","Clubhouse (MH Outpatient)",1]
[null,null,null,null,null,null,null,98960,"Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; individual patient",30,null,"Minutes"]
[null,null,null,null,null,null,null,98962,"Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 2-4 patients",30,"Group","Minutes"]
[null,null,null,null,null,null,null,98961,"Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 5-8 patients",30,"Group","Minutes"]
[null,null,null,null,null,null,null,"S0201","Partial Hospitalization Services; less than 24 hours, per diem",1,null,"Hour"]
[null,null,null,null,null,null,null,"Non-Billable","Non-Billable",0]
[null,null,null,null,null,null,null,"H2011","Mobile Crisis Encounter",1,null,"Encounter"]

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{"sheet":"Non Billable","index":9,"n_rows":36,"n_cols":5,"rows_kept":36,"cut":false,"hidden":true,"merged":[]}
["Procedure Name","Non-Billable?",null,"Procedure Name","Individual/Group"]
["Mobile Crisis Dispatch Screening","Y",null,"Care Coordination Outside System of Care Group","Group"]
["Dietician Progress Note","Y",null,"Psychosocial Rehabilitation Group","Group"]
["Dietician Assessment","Y",null,"Group Therapy","Group"]
["Mobile Crisis Follow-Up","Y",null,"Multiple-Family Group Psychotherapy","Group"]
["General Outreach","Y",null,"Group Counseling","Group"]
["Targeted Outreach","Y",null,"Medication Training and Support Group","Group"]
["Quality Improvement Activities","Y",null,"Behavioral Health Prevention Education Group","Group"]
["Consults to External Providers (Non-billable)","Y"]
["Transportation","Y"]
["Client Non Billable Srvc Must Document","Y"]
["Psychiatric Procedure (IP/PHF/CSU/Res)","Y"]
["Shift Summary","Y"]
["Non-Billable Bed Procedure","Y"]
["Brief Contact Note","Y"]
["Residential Daily Note","Y"]
["Non-Billable Attempted Contact","Y"]
["Attestation Note","Y"]
["Medical Non-Billable Note","Y"]
["Legal Report Writing Note","Y"]
["CARE Act - Notice Activity","Y"]
["CARE Act - Outreach and Engagement","Y"]
["CARE Act - Court Report Activity","Y"]
["CARE Act - Hearing Time","Y"]
["Prev Prob Identification-AOD","Y"]
["Prev Education-AOD","Y"]
["Prev Community Based-AOD","Y"]
["Prev Info Dissemination-AOD","Y"]
["Prev Environ Strategy-AOD","Y"]
["Prev-Alternatives-AOD","Y"]
["Quality Assurance-AOD","Y"]
["CARE Act - Data Reporting","Y"]
["PEI Outreach","Y"]
["Room and Board","Y"]
["Bed Hold Day","Y"]
["Nurse Progress Note (IP/PHF/CSU/Res)","Y"]