<status value="draft" /> <experimental value="false" /> <description value="Concepts of Procedure Code CPT from Uniform Service coding standard Manual, Colorado BHA." /> <compose> <include> <system value="http://www.ama-assn.org/go/cpt" /> <concept> <code value="00104" /> <display value="Anesthesia for Electroconvulsive Therapy" /> </concept> <concept> <code value="80305" /> <display value="Drug screen, presumptive, optical observation" /> </concept> <concept> <code value="80306" /> <display value="Drug screen, presumptive, read by instrument" /> </concept> <concept> <code value="82075" /> <display value="Alcohol (ethanol); breath" /> </concept> <concept> <code value="90785" /> <display value="Interactive complexity add-on" /> </concept> <concept> <code value="90791" /> <display value="Psychiatric diagnostic eval" /> </concept> <concept> <code value="90792" /> <display value="Psychiatric diagnostic eval with medical services" /> </concept> <concept> <code value="90832" /> <display value="Psychotherapy w/ patient, 30 mins" /> </concept> <concept> <code value="90833" /> <display value="Psychotherapy w/ patient when performed with an E/M service, 30 mins" /> </concept> <concept> <code value="90834" /> <display value="Psychotherapy w/ patient, 45 mins" /> </concept> <concept> <code value="90836" /> <display value="Psychotherapy w/ patient when performed with an E/M service, 45 mins" /> </concept> <concept> <code value="90837" /> <display value="Psychotherapy w/ patient, 60 mins" /> </concept> <concept> <code value="90838" /> <display value="Psychotherapy w/ patient when performed with an E/M service, 60 mins" /> </concept> <concept> <code value="90839" /> <display value="Psychotherapy for crisis, first 60 mins" /> </concept> <concept> <code value="90840" /> <display value="Psychotherapy for crisis add-on, each add'l 30 mins" /> </concept> <concept> <code value="90846" /> <display value="Family psychotherapy without the member present" /> </concept> <concept> <code value="90847" /> <display value="Family psychotherapy with the member present" /> </concept> <concept> <code value="90849" /> <display value="Multiple-family group psychotherapy" /> </concept> <concept> <code value="90853" /> <display value="Group psychotherapy (other than of a multi-family group)" /> </concept> <concept> <code value="90870" /> <display value="Electroconvulsive Therapy (ECT)" /> </concept> <concept> <code value="90875" /> <display value="Individual psychophysiological therapy incorporating biofeedback with psychotherapy, 30 mins" /> </concept> <concept> <code value="90876" /> <display value="Individual psychophysiological therapy incorporating biofeedback with psychotherapy, 45 mins" /> </concept> <concept> <code value="90887" /> <display value="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 member" /> </concept> <concept> <code value="96116" /> <display value="Neurobehavioral Status Exam, first 60 mins" /> </concept> <concept> <code value="96121" /> <display value="Neurobehavioral Status Exam add-on, each add'l 60 mins" /> </concept> <concept> <code value="96130" /> <display value="Psychological testing evaluation by physician or other qualified health care professional, with interactive feedback to the member, family member(s) or caregiver(s), when performed, first 60 mins" /> </concept> <concept> <code value="96131" /> <display value="Psychological testing evaluation by physician or other qualified health care professional add-on, each add'l 60 mins" /> </concept> <concept> <code value="96132" /> <display value="Neuropsychological testing evaluation by physician or other qualified health care professional, with interactive feedback to the member, family member(s) or caregiver(s), when performed, first 60 mins" /> </concept> <concept> <code value="96133" /> <display value="Neuropsychological testing evaluation by physician or other qualified health care professional add-on, each add'l 60 mins" /> </concept> <concept> <code value="96136" /> <display value="Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first30 mins" /> </concept> <concept> <code value="96137" /> <display value="Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, each add'l 30 mins" /> </concept> <concept> <code value="96138" /> <display value="Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method, first 30 mins" /> </concept> <concept> <code value="96139" /> <display value="Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; each add'l 30 mins" /> </concept> <concept> <code value="96146" /> <display value="Psychological or neuropsychological test administration, with single automated instrument via electronic platform, with automated result only" /> </concept> <concept> <code value="96372" /> <display value="Therapeutic, prophylactic, or diagnostic injection (specify substance or drug) subcutaneous or intramuscular" /> </concept> <concept> <code value="97535" /> <display value="Self-care/home management training (e.g., activities of daily living (ADLs) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact by provider, each 15 mins" /> </concept> <concept> <code value="97537" /> <display value="Community/work reintegration training (e.g., shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contact by provider, each 15 mins" /> </concept> <concept> <code value="98966" /> <display value="Telephone assessment and management provided by qualified non-physician health care prof, 5-10 mins" /> </concept> <concept> <code value="98967" /> <display value="Telephone assessment and management provided by qualified non-physician health care prof, 11-20 mins" /> </concept> <concept> <code value="98968" /> <display value="Telephone assessment and management provided by qualified non-physician health care prof, 21-30 mins" /> </concept> <concept> <code value="99202" /> <display value="New Pt Office or Other Outpt Visit w/ Straightforward MDM, typically 15-29 mins" /> </concept> <concept> <code value="99203" /> <display value="New Pt Office or Other Outpt Visit w/ Low MDM, typically 30 - 44 mins" /> </concept> <concept> <code value="99204" /> <display value="New Pt Office or Other Outpt Visit w/ Moderate MDM, typically 45 - 59 mins" /> </concept> <concept> <code value="99205" /> <display value="New Pt Office or Other Outpt Visit w/ High MDM, typically 60-74 min" /> </concept> <concept> <code value="99211" /> <display value="Established Pt Office or Other Outpt Visit not requiring a Physician" /> </concept> <concept> <code value="99212" /> <display value="Established Pt Office or Other Outpt Visit w/ Straightforward MDM, typically 10- 19 mins" /> </concept> <concept> <code value="99213" /> <display value="Established Pt Office or Other Outpt Visit w/ Low MDM, typically 20- 29 mins" /> </concept> <concept> <code value="99214" /> <display value="Established Pt Office or Other Outpt Visit w/ Moderate MDM, typically 30 - 39 mins" /> </concept> <concept> <code value="99215" /> <display value="Established Pt Office or Other Outpt Visit w/ High MDM, typically 40 - 54 mins" /> </concept> <concept> <code value="99221" /> <display value="Initial hospital care with Straightforward or low level of medical decision making, per day, if using time, at least 40 minutes" /> </concept> <concept> <code value="99222" /> <display value="Initial hospital care with Straightforward or low level of medical decision making, per day, if using time, at least 55 minutes" /> </concept> <concept> <code value="99223" /> <display value="Initial hospital care with Moderate level of medical decision making, if using time, at least 75 minutes" /> </concept> <concept> <code value="99231" /> <display value="Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes" /> </concept> <concept> <code value="99232" /> <display value="Subsequent hospital care with moderate level of medical decision making, if using time, at least 35 minutes" /> </concept> <concept> <code value="99233" /> <display value="Subsequent hospital care with moderate level of medical decision making, if using time, at least 50 minutes" /> </concept> <concept> <code value="99234" /> <display value="Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes" /> </concept> <concept> <code value="99235" /> <display value="Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes" /> </concept> <concept> <code value="99236" /> <display value="Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes" /> </concept> <concept> <code value="99238" /> <display value="Inpt Hospital Discharge, 30 mins or less" /> </concept> <concept> <code value="99239" /> <display value="Inpt Hospital Discharge, More than 30 mins" /> </concept> <concept> <code value="99242" /> <display value="Outpatient consultation with straightforward medical decision making, if using time, at least 20 minutes" /> </concept> <concept> <code value="99243" /> <display value="Outpatient consultation with low level of medical decision making, if using time, at least 30 minutes" /> </concept> <concept> <code value="99244" /> <display value="Outpatient consultation with moderate level of medical decision making, if using time, at least 40 minutes" /> </concept> <concept> <code value="99245" /> <display value="Outpatient consultation with high level of medical decision making, if using time, at least 55 minutes" /> </concept> <concept> <code value="99252" /> <display value="Hospital consultation with straightforward medical decision making, if using time, at least 35 minutes" /> </concept> <concept> <code value="99253" /> <display value="Hospital consultation with low level of medical decision making, if using time, at least 45 minutes" /> </concept> <concept> <code value="99254" /> <display value="Hospital consultation with moderate level of medical decision making, if using time, at least 45 minutes" /> </concept> <concept> <code value="99255" /> <display value="Hospital consultation with high level of medical decision making, if using time, at least 80 minutes" /> </concept> <concept> <code value="99281" /> <display value="Emergency department visit for problem that may not require health care professional" /> </concept> <concept> <code value="99282" /> <display value="Emergency department visit with straightforward medical decision making" /> </concept> <concept> <code value="99283" /> <display value="Emergency department visit with low level of medical decision making" /> </concept> <concept> <code value="99284" /> <display value="Emergency department visit with moderate level of medical decision making" /> </concept> <concept> <code value="99285" /> <display value="Emergency department visit with high level of medical decision making" /> </concept> <concept> <code value="99304" /> <display value="Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes" /> </concept> <concept> <code value="99305" /> <display value="Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes" /> </concept> <concept> <code value="99306" /> <display value="Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes" /> </concept> <concept> <code value="99307" /> <display value="Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes" /> </concept> <concept> <code value="99308" /> <display value="Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes" /> </concept> <concept> <code value="99309" /> <display value="Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes" /> </concept> <concept> <code value="99310" /> <display value="Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes" /> </concept> <concept> <code value="99315" /> <display value="Nursing Facility Discharge, 30 mins or less" /> </concept> <concept> <code value="99316" /> <display value="Nursing Facility Discharge, more than 30 mins" /> </concept> <concept> <code value="99341" /> <display value="Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes" /> </concept> <concept> <code value="99342" /> <display value="Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes" /> </concept> <concept> <code value="99344" /> <display value="Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes" /> </concept> <concept> <code value="99345" /> <display value="Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes" /> </concept> <concept> <code value="99347" /> <display value="Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes" /> </concept> <concept> <code value="99348" /> <display value="Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes" /> </concept> <concept> <code value="99349" /> <display value="Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes" /> </concept> <concept> <code value="99350" /> <display value="Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes" /> </concept> <concept> <code value="99366" /> <display value="Medical Team Conference w/ Interdisciplinary Team and Pt and/or Family and Participation by Nonphysician Health Care Professional, 30 mins or more" /> </concept> <concept> <code value="99367" /> <display value="Medical Team Conference w/ Interdisciplinary Team w/out Pt and/or Family and Participation by Physician, 30 mins or more" /> </concept> <concept> <code value="99368" /> <display value="Medical Team Conference w/ Participation by Nonphysician Health Care Professional, 30 mins or more" /> </concept> <concept> <code value="99441" /> <display value="Telephone E/M service by a physician or other qualified health care professional, 5-10 mins" /> </concept> <concept> <code value="99442" /> <display value="Telephone E/M service by a physician or other qualified health care professional, 11-20 mins" /> </concept> <concept> <code value="99443" /> <display value="Telephone E/M service by a physician or other qualified health care professional, 21-30 mins" /> </concept> <concept> <code value="G0176" /> <display value="Activity therapy, such as music, dance, art or play therapies not for recreation, related to care and treatment of member s disabling mental health problems per session, 45 mins or more" /> </concept> <concept> <code value="G0177" /> <display value="Training and educational services related to the care and treatment of member s disabling mental health problems per session, 45 mins or more" /> </concept> <concept> <code value="H0001" /> <display value="Alcohol and/or Drug (AOD) Assessment" /> </concept> <concept> <code value="H0002" /> <display value="Behavioral Health screening to determine eligibility for admission to treatment program" /> </concept> <concept> <code value="H0003" /> <display value="Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs" /> </concept> <concept> <code value="H0004" /> <display value="Behavioral Health counseling and therapy, per 15 mins" /> </concept> <concept> <code value="H0005" /> <display value="Alcohol and/or drug services; group counseling by a clinician" /> </concept> <concept> <code value="H0006" /> <display value="Alcohol and/or drug services; case management" /> </concept> <concept> <code value="H0007" /> <display value="Alcohol and/or drug services; crisis intervention (outpatient)" /> </concept> <concept> <code value="H0010" /> <display value="Clinically managed residential withdrawal management: ASAM level 3.2WM, per diem" /> </concept> <concept> <code value="H0011" /> <display value="Clinically managed residential withdrawal management: ASAM level 3.7WM, per diem" /> </concept> <concept> <code value="H0015" /> <display value="Alcohol and/or drug services; intensive outpatient program" /> </concept> <concept> <code value="H0017" /> <display value="Behavioral Health; residential (hospital residential treatment program), without room and board, per diem" /> </concept> <concept> <code value="H0018" /> <display value="Behavioral Health; short term residential, without room and board, per diem" /> </concept> <concept> <code value="H0019" /> <display value="Behavioral Health; long term residential, without room and board, per diem" /> </concept> <concept> <code value="H0020" /> <display value="Alcohol and/or drug services; Methadone administration and/or service (provision of the drug by a licensed program)" /> </concept> <concept> <code value="H0022" /> <display value="Alcohol and/or drug intervention service (planned facilitation)" /> </concept> <concept> <code value="H0023" /> <display value="Drop-in Center/Behavioral Health Outreach" /> </concept> <concept> <code value="H0024" /> <display value="Behavioral Health Prevention Information Dissemination Service (One-Way Direct or Non-Direct Contact with Service Audiences to Affect Knowledge and Attitude)" /> </concept> <concept> <code value="H0025" /> <display value="Behavioral Health prevention education service" /> </concept> <concept> <code value="H0027" /> <display value="Alcohol and/or drug prevention environmental service (broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law)" /> </concept> <concept> <code value="H0028" /> <display value="Alcohol and/or drug prevention problem identification and referral service (e.g. student assistance and employee assistance programs), does not include assessment" /> </concept> <concept> <code value="H0029" /> <display value="Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e.g. alcohol free social events)" /> </concept> <concept> <code value="H0030" /> <display value="Behavioral Health, Hotline Services" /> </concept> <concept> <code value="H0031" /> <display value="Mental health assessment by non-physician" /> </concept> <concept> <code value="H0032" /> <display value="Mental health service plan development by non-physician" /> </concept> <concept> <code value="H0033" /> <display value="Oral medication administration, direct observation" /> </concept> <concept> <code value="H0034" /> <display value="Medication training and support, per 15 mins" /> </concept> <concept> <code value="H0035" /> <display value="Mental health partial hospitalization, less than 24 hours" /> </concept> <concept> <code value="H0036" /> <display value="Community psychiatric supportive treatment, per 15 mins" /> </concept> <concept> <code value="H0037" /> <display value="Community psychiatric supportive treatment, per diem" /> </concept> <concept> <code value="H0038" /> <display value="Self-help/peer services, per 15 mins" /> </concept> <concept> <code value="H0039" /> <display value="Assertive community treatment, per 15 mins" /> </concept> <concept> <code value="H0040" /> <display value="Assertive community treatment program, per diem" /> </concept> <concept> <code value="H0043" /> <display value="Supported housing, per diem" /> </concept> <concept> <code value="H0044" /> <display value="Supported housing, per month" /> </concept> <concept> <code value="H0045" /> <display value="Respite care services, not in the home, per diem" /> </concept> <concept> <code value="H0047" /> <display value="Alcohol and/or other drug abuse services; not otherwise specified" /> </concept> <concept> <code value="H0048" /> <display value="Alcohol and/or other drug testing; collection of handling only, specimens other than blood" /> </concept> <concept> <code value="H1000" /> <display value="Prenatal Care, At Risk Assessment" /> </concept> <concept> <code value="H1002" /> <display value="Care coordination prenatal/case management" /> </concept> <concept> <code value="H1003" /> <display value="Prenatal Care, at risk enhanced service, education" /> </concept> <concept> <code value="H1004" /> <display value="Prenatal follow up home visit" /> </concept> <concept> <code value="H1011" /> <display value="Family assessment by a licensed Behavioral Health professional" /> </concept> <concept> <code value="H2000" /> <display value="Comprehensive multidisciplinary evaluation" /> </concept> <concept> <code value="H2001" /> <display value="Rehabilitation program, per day" /> </concept> <concept> <code value="H2011" /> <display value="Crisis intervention service, per 15 mins" /> </concept> <concept> <code value="H2012" /> <display value="Behavioral Health day treatment, per hour" /> </concept> <concept> <code value="H2014" /> <display value="Skills training and development, per 15 mins" /> </concept> <concept> <code value="H2015" /> <display value="Comprehensive community support services, per 15 mins" /> </concept> <concept> <code value="H2016" /> <display value="Comprehensive community support services, per diem" /> </concept> <concept> <code value="H2017" /> <display value="Psychosocial rehabilitation services, per 15 mins" /> </concept> <concept> <code value="H2018" /> <display value="Psychosocial rehabilitation services, per diem" /> </concept> <concept> <code value="H2021" /> <display value="Community-based wrap-around services, per 15 mins" /> </concept> <concept> <code value="H2022" /> <display value="Community-based wrap-around services, per diem" /> </concept> <concept> <code value="H2023" /> <display value="Supported employment, per 15 mins" /> </concept> <concept> <code value="H2024" /> <display value="Supported employment, per diem" /> </concept> <concept> <code value="H2025" /> <display value="Ongoing support to maintain employment, per 15 mins" /> </concept> <concept> <code value="H2026" /> <display value="Ongoing support to maintain employment, per diem" /> </concept> <concept> <code value="H2027" /> <display value="Psychoeducational service, per 15 mins" /> </concept> <concept> <code value="H2030" /> <display value="Mental health Clubhouse services, per 15 mins" /> </concept> <concept> <code value="H2031" /> <display value="Mental health Clubhouse services, per diem" /> </concept> <concept> <code value="H2032" /> <display value="Activity therapy, per 15 mins" /> </concept> <concept> <code value="H2033" /> <display value="Multi-systemic therapy (MST) for juveniles, 15 mins" /> </concept> <concept> <code value="H2034" /> <display value="Halfway house" /> </concept> <concept> <code value="H2036" /> <display value="Alcohol and/or other drug treatment program, per diem" /> </concept> <concept> <code value="S5150" /> <display value="Unskilled respite care, not hospice; per 15 mins" /> </concept> <concept> <code value="S5151" /> <display value="Unskilled respite care, not hospice; per diem" /> </concept> <concept> <code value="S9445" /> <display value="Member education, not otherwise classified, non-physician provider, individual" /> </concept> <concept> <code value="S9453" /> <display value="Smoking cessation classes, non-physician provider, per session" /> </concept> <concept> <code value="S9454" /> <display value="Stress management classes, non-physician provider, per session" /> </concept> <concept> <code value="S9480" /> <display value="Intensive outpatient psychiatric (IOP) services, per diem" /> </concept> <concept> <code value="S9485" /> <display value="Crisis intervention mental health services, per diem" /> </concept> <concept> <code value="S9976" /> <display value="Lodging, per diem, not otherwise specified" /> </concept> <concept> <code value="T1005" /> <display value="Respite care services, 15 mins" /> </concept> <concept> <code value="T1006" /> <display value="Alcohol and/or substance use services, family/couple counseling" /> </concept> <concept> <code value="T1009" /> <display value="Child sitting services for the children of the individual receiving alcohol and/or substance use services" /> </concept> <concept> <code value="T1012" /> <display value="Alcohol and/or substance use services, skills development" /> </concept> <concept> <code value="T1013" /> <display value="Sign language or oral interpreter for alcohol and/or substance use services" /> </concept> <concept> <code value="T1016" /> <display value="Case management, 15 minutes" /> </concept> <concept> <code value="T1017" /> <display value="Targeted Case management, each 15 mins" /> </concept> <concept> <code value="T2001" /> <display value="Non-emergency transportation" /> </concept> </include> </compose> <expansion> <timestamp value="2023-07-31T18:35:33.1743667+00:00" /> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="00104" /> <display value="Anesthesia for Electroconvulsive Therapy" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="80305" /> <display value="Drug screen, presumptive, optical observation" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="80306" /> <display value="Drug screen, presumptive, read by instrument" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="82075" /> <display value="Alcohol (ethanol); breath" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90785" /> <display value="Interactive complexity add-on" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90791" /> <display value="Psychiatric diagnostic eval" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90792" /> <display value="Psychiatric diagnostic eval with medical services" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90832" /> <display value="Psychotherapy w/ patient, 30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90833" /> <display value="Psychotherapy w/ patient when performed with an E/M service, 30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90834" /> <display value="Psychotherapy w/ patient, 45 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90836" /> <display value="Psychotherapy w/ patient when performed with an E/M service, 45 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90837" /> <display value="Psychotherapy w/ patient, 60 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90838" /> <display value="Psychotherapy w/ patient when performed with an E/M service, 60 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90839" /> <display value="Psychotherapy for crisis, first 60 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90840" /> <display value="Psychotherapy for crisis add-on, each add'l 30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90846" /> <display value="Family psychotherapy without the member present" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90847" /> <display value="Family psychotherapy with the member present" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90849" /> <display value="Multiple-family group psychotherapy" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90853" /> <display value="Group psychotherapy (other than of a multi-family group)" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90870" /> <display value="Electroconvulsive Therapy (ECT)" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90875" /> <display value="Individual psychophysiological therapy incorporating biofeedback with psychotherapy, 30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90876" /> <display value="Individual psychophysiological therapy incorporating biofeedback with psychotherapy, 45 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="90887" /> <display value="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 member" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96116" /> <display value="Neurobehavioral Status Exam, first 60 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96121" /> <display value="Neurobehavioral Status Exam add-on, each add'l 60 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96130" /> <display value="Psychological testing evaluation by physician or other qualified health care professional, with interactive feedback to the member, family member(s) or caregiver(s), when performed, first 60 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96131" /> <display value="Psychological testing evaluation by physician or other qualified health care professional add-on, each add'l 60 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96132" /> <display value="Neuropsychological testing evaluation by physician or other qualified health care professional, with interactive feedback to the member, family member(s) or caregiver(s), when performed, first 60 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96133" /> <display value="Neuropsychological testing evaluation by physician or other qualified health care professional add-on, each add'l 60 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96136" /> <display value="Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96137" /> <display value="Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, each add l 30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96138" /> <display value="Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method, first 30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96139" /> <display value="Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; each add'l 30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96146" /> <display value="Psychological or neuropsychological test administration, with single automated instrument via electronic platform, with automated result only" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="96372" /> <display value="Therapeutic, prophylactic, or diagnostic injection (specify substance or drug) subcutaneous or intramuscular" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="97535" /> <display value="Self-care/home management training (e.g., activities of daily living (ADLs) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact by provider, each 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="97537" /> <display value="Community/work reintegration training (e.g., shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contact by provider, each 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="98966" /> <display value="Telephone assessment and management provided by qualified non-physician health care prof, 5-10 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="98967" /> <display value="Telephone assessment and management provided by qualified non-physician health care prof, 11-20 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="98968" /> <display value="Telephone assessment and management provided by qualified non-physician health care prof, 21-30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99202" /> <display value="New Pt Office or Other Outpt Visit w/ Straightforward MDM, typically 15-29 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99203" /> <display value="New Pt Office or Other Outpt Visit w/ Low MDM, typically 30 - 44 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99204" /> <display value="New Pt Office or Other Outpt Visit w/ Moderate MDM, typically 45 - 59 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99205" /> <display value="New Pt Office or Other Outpt Visit w/ High MDM, typically 60-74 min" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99211" /> <display value="Established Pt Office or Other Outpt Visit not requiring a Physician" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99212" /> <display value="Established Pt Office or Other Outpt Visit w/ Straightforward MDM, typically 10- 19 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99213" /> <display value="Established Pt Office or Other Outpt Visit w/ Low MDM, typically 20- 29 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99214" /> <display value="Established Pt Office or Other Outpt Visit w/ Moderate MDM, typically 30 - 39 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99215" /> <display value="Established Pt Office or Other Outpt Visit w/ High MDM, typically 40 - 54 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99221" /> <display value="Initial hospital care with Straightforward or low level of medical decision making, per day, if using time, at least 40 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99222" /> <display value="Initial hospital care with Straightforward or low level of medical decision making, per day, if using time, at least 55 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99223" /> <display value="Initial hospital care with Moderate level of medical decision making, if using time, at least 75 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99231" /> <display value="Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99232" /> <display value="Subsequent hospital care with moderate level of medical decision making, if using time, at least 35 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99233" /> <display value="Subsequent hospital care with moderate level of medical decision making, if using time, at least 50 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99234" /> <display value="Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99235" /> <display value="Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99236" /> <display value="Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99238" /> <display value="Inpt Hospital Discharge, 30 mins or less" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99239" /> <display value="Inpt Hospital Discharge, More than 30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99242" /> <display value="Outpatient consultation with straightforward medical decision making, if using time, at least 20 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99243" /> <display value="Outpatient consultation with low level of medical decision making, if using time, at least 30 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99244" /> <display value="Outpatient consultation with moderate level of medical decision making, if using time, at least 40 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99245" /> <display value="Outpatient consultation with high level of medical decision making, if using time, at least 55 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99252" /> <display value="Hospital consultation with straightforward medical decision making, if using time, at least 35 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99253" /> <display value="Hospital consultation with low level of medical decision making, if using time, at least 45 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99254" /> <display value="Hospital consultation with moderate level of medical decision making, if using time, at least 45 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99255" /> <display value="Hospital consultation with high level of medical decision making, if using time, at least 80 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99281" /> <display value="Emergency department visit for problem that may not require health care professional" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99282" /> <display value="Emergency department visit with straightforward medical decision making" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99283" /> <display value="Emergency department visit with low level of medical decision making" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99284" /> <display value="Emergency department visit with moderate level of medical decision making" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99285" /> <display value="Emergency department visit with high level of medical decision making" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99304" /> <display value="Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99305" /> <display value="Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99306" /> <display value="Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99307" /> <display value="Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99308" /> <display value="Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99309" /> <display value="Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99310" /> <display value="Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99315" /> <display value="Nursing Facility Discharge, 30 mins or less" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99316" /> <display value="Nursing Facility Discharge, more than 30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99341" /> <display value="Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99342" /> <display value="Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99344" /> <display value="Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99345" /> <display value="Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99347" /> <display value="Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99348" /> <display value="Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99349" /> <display value="Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99350" /> <display value="Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99366" /> <display value="Medical Team Conference w/ Interdisciplinary Team and Pt and/or Family and Participation by Nonphysician Health Care Professional, 30 mins or more" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99367" /> <display value="Medical Team Conference w/ Interdisciplinary Team w/out Pt and/or Family and Participation by Physician, 30 mins or more" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99368" /> <display value="Medical Team Conference w/ Participation by Nonphysician Health Care Professional, 30 mins or more" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99441" /> <display value="Telephone E/M service by a physician or other qualified health care professional, 5-10 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99442" /> <display value="Telephone E/M service by a physician or other qualified health care professional, 11-20 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="99443" /> <display value="Telephone E/M service by a physician or other qualified health care professional, 21-30 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="G0176" /> <display value="Activity therapy, such as music, dance, art or play therapies not for recreation, related to care and treatment of member s disabling mental health problems per session, 45 mins or more" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="G0177" /> <display value="Training and educational services related to the care and treatment of member s disabling mental health problems per session, 45 mins or more" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0001" /> <display value="Alcohol and/or Drug (AOD) Assessment" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0002" /> <display value="Behavioral Health screening to determine eligibility for admission to treatment program" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0003" /> <display value="Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0004" /> <display value="Behavioral Health counseling and therapy, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0005" /> <display value="Alcohol and/or drug services; group counseling by a clinician" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0006" /> <display value="Alcohol and/or drug services; case management" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0007" /> <display value="Alcohol and/or drug services; crisis intervention (outpatient)" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0010" /> <display value="Clinically managed residential withdrawal management: ASAM level 3.2WM, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0011" /> <display value="Clinically managed residential withdrawal management: ASAM level 3.7WM, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0015" /> <display value="Alcohol and/or drug services; intensive outpatient program" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0017" /> <display value="Behavioral Health; residential (hospital residential treatment program), without room and board, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0018" /> <display value="Behavioral Health; short term residential, without room and board, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0019" /> <display value="Behavioral Health; long term residential, without room and board, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0020" /> <display value="Alcohol and/or drug services; Methadone administration and/or service (provision of the drug by a licensed program)" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0022" /> <display value="Alcohol and/or drug intervention service (planned facilitation)" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0023" /> <display value="Drop-in Center/Behavioral Health Outreach" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0024" /> <display value="Behavioral Health Prevention Information Dissemination Service (One-Way Direct or Non-Direct Contact with Service Audiences to Affect Knowledge and Attitude)" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0025" /> <display value="Behavioral Health prevention education service" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0027" /> <display value="Alcohol and/or drug prevention environmental service (broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law)" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0028" /> <display value="Alcohol and/or drug prevention problem identification and referral service (e.g. student assistance and employee assistance programs), does not include assessment" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0029" /> <display value="Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e.g. alcohol free social events)" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0030" /> <display value="Behavioral Health, Hotline Services" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0031" /> <display value="Mental health assessment by non-physician" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0032" /> <display value="Mental health service plan development by non-physician" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0033" /> <display value="Oral medication administration, direct observation" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0034" /> <display value="Medication training and support, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0035" /> <display value="Mental health partial hospitalization, less than 24 hours" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0036" /> <display value="Community psychiatric supportive treatment, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0037" /> <display value="Community psychiatric supportive treatment, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0038" /> <display value="Self-help/peer services, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0039" /> <display value="Assertive community treatment, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0040" /> <display value="Assertive community treatment program, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0043" /> <display value="Supported housing, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0044" /> <display value="Supported housing, per month" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0045" /> <display value="Respite care services, not in the home, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0047" /> <display value="Alcohol and/or other drug abuse services; not otherwise specified" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H0048" /> <display value="Alcohol and/or other drug testing; collection of handling only, specimens other than blood" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H1000" /> <display value="Prenatal Care, At Risk Assessment" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H1002" /> <display value="Care coordination prenatal/case management" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H1003" /> <display value="Prenatal Care, at risk enhanced service, education" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H1004" /> <display value="Prenatal follow up home visit" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H1011" /> <display value="Family assessment by a licensed Behavioral Health professional" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2000" /> <display value="Comprehensive multidisciplinary evaluation" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2001" /> <display value="Rehabilitation program, per day" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2011" /> <display value="Crisis intervention service, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2012" /> <display value="Behavioral Health day treatment, per hour" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2014" /> <display value="Skills training and development, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2015" /> <display value="Comprehensive community support services, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2016" /> <display value="Comprehensive community support services, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2017" /> <display value="Psychosocial rehabilitation services, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2018" /> <display value="Psychosocial rehabilitation services, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2021" /> <display value="Community-based wrap-around services, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2022" /> <display value="Community-based wrap-around services, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2023" /> <display value="Supported employment, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2024" /> <display value="Supported employment, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2025" /> <display value="Ongoing support to maintain employment, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2026" /> <display value="Ongoing support to maintain employment, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2027" /> <display value="Psychoeducational service, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2030" /> <display value="Mental health Clubhouse services, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2031" /> <display value="Mental health Clubhouse services, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2032" /> <display value="Activity therapy, per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2033" /> <display value="Multi-systemic therapy (MST) for juveniles, 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2034" /> <display value="Halfway house" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="H2036" /> <display value="Alcohol and/or other drug treatment program, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="S5150" /> <display value="Unskilled respite care, not hospice; per 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="S5151" /> <display value="Unskilled respite care, not hospice; per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="S9445" /> <display value="Member education, not otherwise classified, non-physician provider, individual" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="S9453" /> <display value="Smoking cessation classes, non-physician provider, per session" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="S9454" /> <display value="Stress management classes, non-physician provider, per session" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="S9480" /> <display value="Intensive outpatient psychiatric (IOP) services, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="S9485" /> <display value="Crisis intervention mental health services, per diem" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="S9976" /> <display value="Lodging, per diem, not otherwise specified" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="T1005" /> <display value="Respite care services, 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="T1006" /> <display value="Alcohol and/or substance use services, family/couple counseling" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="T1009" /> <display value="Child sitting services for the children of the individual receiving alcohol and/or substance use services" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="T1012" /> <display value="Alcohol and/or substance use services, skills development" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="T1013" /> <display value="Sign language or oral interpreter for alcohol and/or substance use services" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="T1016" /> <display value="Case management, 15 minutes" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="T1017" /> <display value="Targeted Case management, each 15 mins" /> </contains> <contains> <system value="http://www.ama-assn.org/go/cpt" /> <version value="6.0.0" /> <code value="T2001" /> <display value="Non-emergency transportation" /> </contains> </expansion> </ValueSet>