Maine
Maine
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| 45 | alex | 09/20/2024 11:31 AM | alex | 09/20/2024 11:31 AM | 90791 | Psych diagnostic evaluation (not time dependent) | 119.20 | 2024-01-01 | |
| 46 | alex | 09/20/2024 11:31 AM | alex | 09/20/2024 11:31 AM | 90832 | Psychotherapy, 30 minutes with patient and/or family member (minimum time = 15 min) | 54.22 | 2024-01-01 | |
| 47 | alex | 09/20/2024 11:31 AM | alex | 09/20/2024 11:31 AM | 90833 | Add-on Psychotherapy 30 min (16-37); Psychotherapy, 30 minutes with patient and/or family when performed with an evaluation and management service | 49.55 | 2024-01-01 | |
| 48 | alex | 09/20/2024 11:31 AM | alex | 09/20/2024 11:31 AM | 90834 | Psychotherapy 45 (38-52) min; Psychotherapy, 45 minutes with patient and/or family member | 71.57 | 2024-01-01 | |
| 49 | alex | 09/20/2024 11:31 AM | alex | 09/20/2024 11:31 AM | 90836 | Add-on Psychotherapy 45 min (38-52); Psychotherapy, 45 minutes with patient and/or family when performed with an evaluation and management service | 62.69 | 2024-01-01 | |
| 50 | alex | 09/20/2024 11:31 AM | alex | 09/20/2024 11:31 AM | 90837 | Psychotherapy, 60 minutes with patient and/or family member (53+) min | 105.51 | 2024-01-01 | |
| 51 | alex | 09/20/2024 11:31 AM | alex | 09/20/2024 11:31 AM | 90838 | Add-on Psychotherapy 60 min (53+); Psychotherapy, 60 minutes with patient and/or family when performed with an evaluation and management service | 83.07 | 2024-01-01 | |
| 52 | alex | 09/20/2024 11:31 AM | alex | 09/20/2024 11:31 AM | 90846 | Family psychotherapy without patient, 50 minutes | 67.77 | 2024-01-01 | |
| 53 | alex | 09/20/2024 11:31 AM | alex | 09/20/2024 11:31 AM | 90853 | Group psychotherapy (other than of a multiple-family group) | 19.12 | 2024-01-01 | |
| 54 | alex | 09/20/2024 11:31 AM | alex | 09/20/2024 11:31 AM | 96372 | Injection for buprenorphine or naltrexone; Therapeutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular | 9.59 | 2024-01-01 | |
| CPT Code | Description | Allowable Amount | Effective Date | Additional Information |