Iowa
Iowa
| wdt_ID | wdt_created_by | wdt_created_at | wdt_last_edited_by | wdt_last_edited_at | CPT Code | Description | Base Rate | Effective Date | Additional Information |
|---|---|---|---|---|---|---|---|---|---|
| 359 | alex | 09/18/2024 01:12 PM | alex | 09/18/2024 01:12 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 159.00 | 2023-07-01 | Factor Code: X; Modifier: SA |
| 360 | alex | 09/18/2024 01:12 PM | alex | 09/18/2024 01:12 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 168.94 | 2023-07-01 | Factor: X; Modifier: HP |
| 361 | alex | 09/18/2024 01:12 PM | alex | 09/18/2024 01:12 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 178.87 | 2023-07-01 | Factor: 9; Modifier: HP |
| 362 | alex | 09/18/2024 01:12 PM | alex | 09/18/2024 01:12 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 198.75 | 2023-07-01 | Factor: 9; Modifier: AF |
| 363 | alex | 09/18/2024 01:12 PM | alex | 09/18/2024 01:12 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 149.71 | 2023-07-01 | Factor: X; Modifier: HO, U1, U2, U3 |
| 364 | alex | 09/18/2024 01:12 PM | alex | 09/18/2024 01:12 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 159.08 | 2023-07-01 | Factor: X; Modifier: SA |
| 365 | alex | 09/18/2024 01:12 PM | alex | 09/18/2024 01:12 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 168.42 | 2023-07-01 | Factor: X; Modifier: HP |
| 366 | alex | 09/18/2024 01:12 PM | alex | 09/18/2024 01:12 PM | 90791 | Psych diagnostic evaluation (not time dependent) | 187.13 | 2023-07-01 | Factor: X; Modifier: AF |
| 367 | alex | 09/18/2024 01:12 PM | alex | 09/18/2024 01:12 PM | 90832 | Psychotherapy, 30 minutes with patient and/or family member (minimum time = 15 min) | 68.01 | 2023-07-01 | Factor: X; Modifier: U1, U2 |
| 368 | alex | 09/18/2024 01:12 PM | alex | 09/18/2024 01:12 PM | 90832 | Psychotherapy, 30 minutes with patient and/or family member (minimum time = 15 min) | 72.27 | 2023-07-01 | Factor: X; Modifier: SA |
| CPT Code | Description | Base Rate | Effective Date | Additional Information |