Montana

Montana

wdt_ID wdt_created_by wdt_created_at wdt_last_edited_by wdt_last_edited_at CPT Code Description Base Rate Facility Rate Effective Date
26 alex 09/20/2024 01:24 PM alex 09/20/2024 01:24 PM 90791 Psych diagnostic evaluation (not time dependent) 228.60 197.14 2023-07-01
27 alex 09/20/2024 01:24 PM alex 09/20/2024 01:24 PM 90832 Psychotherapy, 30 minutes with patient and/or family member (minimum time = 15 min) 98.79 86.82 2023-07-01
28 alex 09/20/2024 01:24 PM alex 09/20/2024 01:24 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 90.81 81.06 2023-07-01
29 alex 09/20/2024 01:24 PM alex 09/20/2024 01:24 PM 90834 Psychotherapy 45 (38-52) min; Psychotherapy, 45 minutes with patient and/or family member 130.70 115.19 2023-07-01
30 alex 09/20/2024 01:24 PM alex 09/20/2024 01:24 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 115.14 102.73 2023-07-01
31 alex 09/20/2024 01:24 PM alex 09/20/2024 01:24 PM 90837 Psychotherapy, 60 minutes with patient and/or family member (53+) min 192.26 169.21 2023-07-01
32 alex 09/20/2024 01:24 PM alex 09/20/2024 01:24 PM 90838 Add-on Psychotherapy 60 min (53+); Psychotherapy, 60 minutes with patient and/or family when performed with an evaluation and management service 152.33 136.37 2023-07-01
33 alex 09/20/2024 01:24 PM alex 09/20/2024 01:24 PM 90846 Family psychotherapy without patient, 50 minutes 124.89 124.45 2023-07-01
34 alex 09/20/2024 01:24 PM alex 09/20/2024 01:24 PM 90853 Group psychotherapy (other than of a multiple-family group) 35.01 30.58 2023-07-01
35 alex 09/20/2024 01:24 PM alex 09/20/2024 01:24 PM 96372 Injection for buprenorphine or naltrexone; Therapeutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular 18.61 18.61 2023-07-01
CPT Code Description Base Rate Facility Rate Effective Date

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