30 minute minimum Code (15 minute minimum) Select E&M Code from Range: 99201-99205, 99211-99215 Behavior change Smoking Smoking Cessation Treatment 451 N/A 99406 prevention 3 to 10 minutes intervention counseling Behavior change Smoking Cessation Treatment Smoking 451 N/A 99407 >10 minutes prevention 90882 Environmental Complex Care Coordination Manipulation – 490 N/A 45 minute minimum Complex Care Coordination Self-Help/Peer Peer Counseling 490 N/A H0038 Services-per 15 30 minute minimum minutes Intensive Intensive Outpatient Program 327 N/A S9480 Outpatient 9hrs/week at 3hrs/day Program Outpatient Rehabilitation Rehab program 328 N/A H2001 2-4 Hour Duration per ½ day Outpatient Rehabilitation Alcohol / drug 328 N/A H2036 4 Hours and Above Duration program per diem 840-843 Physical Health New/Existing Patient Select CPT Code from Range: – – New: Existing: 99201 99204 99211 99214 Select □ □ □ □ 99202 99212 99215 Diagnosis: □ □ □ □ 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
30 minute minimum Code (15 minute minimum) Select E&M Code from Range: 99201-99205, 99211-99215 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 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 Services-per 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 Hours 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 □ □ 99212 □ 99215 □ 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
harp-mainstream-billing-manual-9-1-15.docx