IEP/IFSP HEALTH RELATED SERVICE PROCEDURE CODES & FEE SCHEDULE EFFECTIVE 06/01/2016 As a Maryland Medicaid provider, it is your responsibility to bill the Program appropriately for all school health related and early intervention health related services including service coordination and transportation services. Procedure Unit of Rate per Maximum Units Procedure Description Qualified Provider Code Service Unit of Service Modifier AF Licensed Psychiatrist 1 $151.68 AH Licensed Psychologist 1 $123.50 Psychiatric 90791 Diagnostic 1 $108.13 Interview AJ Licensed CSW-C AJ LCPC 1 $108.13 Licensed Nurse 1 $108.13 AJ Psychotherapist 90832 Individual psychotherapy Licensed Psychiatrist, 20-30 min $40.89 one per day; Licensed Psychologist, cannot bill 90834 Licensed Certified on the same day Social Worker-Clinical, Licensed Professional Counselor, Licensed Nurse Psychotherapist 90834 Individual psychotherapy Licensed Psychiatrist, 45-50 min $74.10 one per day; Licensed Psychologist, cannot bill 90832 Licensed Certified on the same day Social Worker-Clinical, Licensed Professional Counselor, Licensed Nurse Psychotherapist 90847 Family psychotherapy Licensed Psychiatrist, 1 $77.94 Licensed Psychologist, Licensed Certified Social Worker-Clinical, Licensed Professional Counselor, Licensed Nurse Psychotherapist
IEP/IFSP HEALTH RELATED SERVICE PROCEDURE CODES & FEE SCHEDULE EFFECTIVE 06/01/2016 As a Maryland Medicaid provider, it is your responsibility to bill the Program appropriately for all school health related and early intervention health related services including service coordination and transportation services. Procedure Code Procedure Description Qualified Provider Unit of Service Rate per Unit Maximum Units of Service 90791 Psychiatric Diagnostic Interview Modifier AF Licensed Psychiatrist 1 $151.68 AH Licensed Psychologist 1 $123.50 AJ Licensed CSW-C 1 $108.13 AJ LCPC 1 $108.13 AJ Licensed Nurse Psychotherapist 1 $108.13 90832 Individual psychotherapy Licensed Psychiatrist, Licensed Psychologist, Licensed Certified Social Worker-Clinical, Licensed Professional Counselor, Licensed Nurse Psychotherapist 20-30 min $40.89 one per day; cannot bill 90834 on the same day 90834 Individual psychotherapy Licensed Psychiatrist, Licensed Psychologist, Licensed Certified Social Worker-Clinical, Licensed Professional Counselor, Licensed Nurse Psychotherapist 45-50 min $74.10 one per day; cannot bill 90832 on the same day 90847 Family psychotherapy Licensed Psychiatrist, Licensed Psychologist, Licensed Certified Social Worker-Clinical, Licensed Professional Counselor, Licensed Nurse Psychotherapist 1 $77.94
Policy%20Manual%20IEP_IFSP%206%201%2016.docx