Indiana
Indiana
| wdt_ID | wdt_created_by | wdt_created_at | wdt_last_edited_by | wdt_last_edited_at | CPT Code | Description | Allowable Amount | Effective Date |
|---|---|---|---|---|---|---|---|---|
| 125 | alex | 09/18/2024 01:07 PM | alex | 09/18/2024 01:07 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 169.4 | 2024-01-01 |
| 126 | alex | 09/18/2024 01:07 PM | alex | 09/18/2024 01:07 PM | 90832 | Psychotherapy, 30 minutes with patient and/or family member (minimum time = 15 min) | 73.38 | 2024-01-01 |
| 127 | alex | 09/18/2024 01:07 PM | alex | 09/18/2024 01:07 PM | 90833 | Add-on Psychotherapy 30 min (16-37); Psychotherapy, 30 minutes with patient and/or family when performed with an evaluation and management service | 66.92 | 2024-01-01 |
| 128 | alex | 09/18/2024 01:07 PM | alex | 09/18/2024 01:07 PM | 90834 | Psychotherapy 45 (38-52) min; Psychotherapy, 45 minutes with patient and/or family member | 96.94 | 2024-01-01 |
| 129 | alex | 09/18/2024 01:07 PM | alex | 09/18/2024 01:07 PM | 90836 | Add-on Psychotherapy 45 min (38-52); Psychotherapy, 45 minutes with patient and/or family when performed with an evaluation and management service | 84.81 | 2024-01-01 |
| 130 | alex | 09/18/2024 01:07 PM | alex | 09/18/2024 01:07 PM | 90837 | Psychotherapy, 60 minutes with patient and/or family member (53+) min | 142.78 | 2024-01-01 |
| 131 | alex | 09/18/2024 01:07 PM | alex | 09/18/2024 01:07 PM | 90838 | Add-on Psychotherapy 60 min (53+); Psychotherapy, 60 minutes with patient and/or family when performed with an evaluation and management service | 112.11 | 2024-01-01 |
| 132 | alex | 09/18/2024 01:07 PM | alex | 09/18/2024 01:07 PM | 90846 | Family psychotherapy without patient, 50 minutes | 93.26 | 2024-01-01 |
| 133 | alex | 09/18/2024 01:07 PM | alex | 09/18/2024 01:07 PM | 90853 | Group psychotherapy (other than of a multiple-family group) | 25.87 | 2024-01-01 |
| 134 | alex | 09/18/2024 01:07 PM | alex | 09/18/2024 01:07 PM | 96372 | Injection for buprenorphine or naltrexone; Therapeutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular | 13.33 | 2024-01-01 |
| CPT Code | Description | Allowable Amount | Effective Date |