Idaho
Idaho
| wdt_ID | wdt_created_by | wdt_created_at | wdt_last_edited_by | wdt_last_edited_at | CPT Code | Description | Allowable Amount | Effective Date | Additional Information |
|---|---|---|---|---|---|---|---|---|---|
| 26 | alex | 09/18/2024 12:36 PM | alex | 09/18/2024 12:36 PM | 99202 | Office or other outpatient visit, new patient | 67.20 | 2023-07-01 | Session: 0-20 min |
| 27 | alex | 09/18/2024 12:36 PM | alex | 09/18/2024 12:36 PM | 99203 | Office or other outpatient visit, new patient | 103.96 | 2023-07-01 | Session: 0-30 min |
| 28 | alex | 09/18/2024 12:36 PM | alex | 09/18/2024 12:36 PM | 99204 | Office or other outpatient visit, new patient | 155.38 | 2023-07-01 | Session 0-45 min |
| 29 | alex | 09/18/2024 12:36 PM | alex | 09/18/2024 12:36 PM | 99205 | Office or other outpatient visit, new patient | 205.22 | 2023-07-01 | Session: 0-60 min |
| 30 | alex | 09/18/2024 12:36 PM | alex | 09/18/2024 12:36 PM | 90853 | Group psychotherapy (other than of a multiple-family group) | 23.17 | 2023-07-01 | |
| 31 | alex | 09/18/2024 12:36 PM | alex | 09/18/2024 12:36 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 151.68 | 2023-07-01 | |
| 32 | alex | 09/18/2024 12:36 PM | alex | 09/18/2024 12:36 PM | 90832 | Psychotherapy, 30 minutes with patient and/or family member (minimum time = 15 min) | 65.73 | 2023-07-01 | |
| 33 | alex | 09/18/2024 12:36 PM | alex | 09/18/2024 12:36 PM | 90834 | Psychotherapy 45 (38-52) min; Psychotherapy, 45 minutes with patient and/or family member | 86.86 | 2023-07-01 | |
| 34 | alex | 09/18/2024 12:36 PM | alex | 09/18/2024 12:36 PM | 90837 | Psychotherapy, 60 minutes with patient and/or family member (53+) min | 127.89 | 2023-07-01 | |
| 35 | alex | 09/18/2024 12:36 PM | alex | 09/18/2024 12:36 PM | 90846 | Family psychotherapy without patient, 50 minutes | 83.66 | 2023-07-01 | |
| CPT Code | Description | Allowable Amount | Effective Date | Additional Information |