min service Alcohol &/or Drug Svcs, Addiction Medication Induction/Withdrawal Management 426 N/A H0014 Ambulatory Detox 30 minute minimum New Patient 99205 Medication Management & Monitoring – Routine 10 minute min N/A 426 Existing Patient E&M Medication Code (15 minute minimum) Medication Management & Monitoring – Complex 30 minute min N/A 426 Select E&M Code from Range: 99201-99205, Behavior change 451 Smoking Cessation Treatment 3 to 10 minutes N/A 99406 Smoking prevention intervention counseling Behavior change Smoking Cessation Treatment >10 minutes N/A 99407 Smoking prevention 451 non-counseling 90882 Environmental Manipulation – Complex Care Coordination 45 minute minimum N/A 490 Complex Care Coordination Self-Help/Peer Peer Counseling 30 minute minimum N/A H0038 490 15 minutes Intensive Outpatient 327 Intensive Outpatient Program 9hrs/week at 3hrs / day N/A S9480 Program Rehab program per ½ Outpatient Rehabilitation 2-4 Hour Duration N/A H2001 328 day Alcohol / drug program 328 Outpatient Rehabilitation 4 Hour and Above Duration N/A H2036 per diem 840-843 Physical Health – New/Existing Patient – Select CPT Code from Range: New: Existing: Select □ 99201 □ 99204 □ 99211 □ 99214 Diagnosis: □ 99202 □ □ 99212 □ □ 99203 □ 99213 Evaluation & Management – No 840 Physical Health – Opioid Dependence □ Counseling Evaluation & Management – No 841 Physical Health – Cocaine Dependence □ Counseling Evaluation & Management – No 842 Physical Health – Alcohol Dependence □ Counseling Evaluation & Management – No 843 Physical Health – Other CD □ Counseling 840-843 Physical Exam – New/Existing Patient – Select CPT Code from Range: New: Existing: Select □ 99382 □ 99385 □ 99392 □ 99395 Diagnosis:
min service 426 Addiction Medication Induction/Withdrawal Management 30 minute minimum N/A H0014 Alcohol &/or Drug Svcs, Ambulatory Detox 426 Medication Management & Monitoring – Routine 10 minute min New Patient Existing Patient N/A 426 Medication Management & Monitoring – Complex 30 minute min E&M Code Medication (15 minute minimum) Select E&M Code from Range: 99201-99205, N/A 451 Smoking Cessation Treatment 3 to 10 minutes N/A 99406 Behavior change Smoking prevention intervention counseling 451 Smoking Cessation Treatment >10 minutes N/A 99407 Behavior change Smoking prevention non-counseling 490 Complex Care Coordination 45 minute minimum 90882 Environmental Manipulation – Complex Care Coordination N/A 490 Peer Counseling 30 minute minimum N/A H0038 Self-Help/Peer 15 minutes 327 Intensive Outpatient Program 9hrs/week at 3hrs / day N/A S9480 Intensive Outpatient Program 328 Outpatient Rehabilitation 2-4 Hour Duration N/A H2001 Rehab program per ½ day 328 Outpatient Rehabilitation 4 Hour and Above Duration N/A H2036 Alcohol / drug program per diem 840-843 Physical Health – New/Existing Patient – Select CPT Code from Range: New: Existing: Select Diagnosis: □ 99201 □ 99204 □ 99211 □ 99214 □ 99202 □ 99205 □ 99212 □ □ 99203 □ 99213 840 Physical Health – Opioid Dependence □ Evaluation & Management – No Counseling 841 Physical Health – Cocaine Dependence □ Evaluation & Management – No Counseling 842 Physical Health – Alcohol Dependence □ Evaluation & Management – No Counseling 843 Physical Health – Other CD □ Evaluation & Management – No Counseling 840-843 Physical Exam – New/Existing Patient – Select CPT Code from Range: New: Existing: Select Diagnosis: □ 99382 □ 99385 □ 99392 □ 99395