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HCFA and Other Common Procedure Coding System (HCPCS) Procedure Set (Codes approved by CMS)


  
 
  • Alcohol and/or drug assessment service
  • Alcohol and/or drug screening service
  • Alcohol and/or drug individual counseling service
  • Alcohol and/or drug group counseling service
  • Alcohol and/or drug case management service
  • Alcohol and/or drug screening analysis service
  • Alcohol and/or drug crisis intervention service (outpatient)
  • Alcohol and/or drug intensive outpatient service
  • Alcohol and/or drug medical/somatic service (intervention in ambulatory setting)
  • Alcohol and/or drug methadone administration and/or service
  • Alcohol and/or drug hospital--residential service
  • Alcohol and/or drug short-term residential service
  • Alcohol and/or drug long-term residential service
  • Alcohol and/or drug hospital sub acute detoxification service (hospital inpatient)
  • Alcohol and/or drug residential sub acute detoxification service (residential inpatient)
  • Alcohol and/or drug residential acute detoxification service (residential inpatient)
  • Alcohol and/or drug residential sub acute detoxification service (residential outpatient)
  • Alcohol and/or drug residential acute detoxification service (residential outpatient)
  • Alcohol and/or drug ambulatory detoxification service
  • Alcohol and/or drug hotline service
  • Alcohol and/or drug training service
  • Alcohol and/or drug intervention service (planned facilitation)
  • Alcohol and/or drug outreach service
  • Alcohol and/or drug prevention information dissemination service
  • Alcohol and/or drug prevention education service
  • Alcohol and/or drug prevention community-based process
  

 

 

Common Procedural Terminology IV (CPT-4) Procedure Set
(Additional relevant codes in use)

 
  • Psychiatric diagnostic interview
  • Interactive psychiatric diagnostic interview examination
  • Individual psychotherapy, insight oriented (outpatient, 20-30 min, face to face)
  • Individual psychotherapy, insight oriented with medical evaluations and management services (outpatient, 20-30 min, face to face)
  • Individual psychotherapy, insight oriented (outpatient, 45-50 min, face to face)
  • Individual psychotherapy, insight oriented with medical evaluations and management services (outpatient, 45-50 min, face to face)
  • Individual psychotherapy, insight oriented (outpatient, 75-80 min, face to face)
  • Individual psychotherapy, insight oriented with medical evaluations and management services (outpatient, 75-80 min, face to face)
  • Individual psychotherapy, interactive (outpatient, 20-30 min, face to face)
  • Individual psychotherapy, interactive with medical evaluation and management services (outpatient, 20-30 min, face to face)
  • Individual psychotherapy, interactive (outpatient, 45-50 min, face to face)
  • Individual psychotherapy, interactive with medical evaluation and management services (outpatient, 45-50 min, face to face)
  • Individual psychotherapy, interactive (outpatient, 75-80 min, face to face)
  • Individual psychotherapy, interactive with medical evaluation and management services (outpatient, 75-80 min, face to face)
  • Individual psychotherapy, insight oriented (inpatient, 20-30 min, face to face)
  • Individual psychotherapy, insight oriented with medical evaluation and management services (inpatient, 20-30 min, face to face)
  • Individual psychotherapy, insight oriented (inpatient, 45-50 min, face to face)
  • Individual psychotherapy, insight oriented with medical evaluation and management services (inpatient, 45-50 min, face to face)
  • Individual psychotherapy, insight oriented (inpatient, 75-80 min, face to face)
  • Individual psychotherapy, insight oriented with medical evaluation and management services (inpatient, 75-80 min, face to face)
  • Individual psychotherapy, interactive (inpatient, 20-30 min, face to face)
  • Individual psychotherapy, interactive with medical evaluation and management services (inpatient, 20-30 min, face to face)
  • Individual psychotherapy, interactive (inpatient, 45-50 min, face to face)
  • Individual psychotherapy, interactive with medical evaluation and management services (inpatient, 45-50 min, face to face)
  • Individual psychotherapy, interactive (inpatient, 75-80 min, face to face)
  • Individual psychotherapy, interactive with medical evaluation and management services (inpatient, 75-80 min, face to face)
  • Psychoanalysis
  • Family psychotherapy (without patient present)
  • Family psychotherapy (with patient present)
  • Multiple family group psychotherapy
  • Group psychotherapy (other than multiple family)
  • Interactive group psychotherapy
  • Pharmacologic management
  • Narcosynthesis
  • Electroconvulsive therapy (single seizure)
  • Electroconvulsive therapy (multiple seizures, per day)
  • Individual psychophysiological therapy (20-30 min)
  • Individual psychophysiological therapy (45-50 min)
  • Hypnotherapy
  • Environment intervention
  • Psychiatric evaluation of hospital records, tests, etc.
  • Interpretation or explanation of results of psychiatric examinations, etc. to family or other
  • Preparation of report of patient's status, history, etc. for physicians, agencies, or insurance
  • Unlisted psychiatric service or procedure
  

 

 

Additional HCPCS Procedure Codes proposed by NASADAD
(Codes to fill in remaining gaps)

 
  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) assertive community treatment (ACT)

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) brief intervention

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) child care

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) child development

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) community support

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) consultation

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) continuing care

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) day treatment

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) family/couple counseling

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) halfway house

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) level of care determination

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) meals for treatment participants

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) other services

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) outpatient rehabilitation service

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) room and board

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) sign language or interpreter services

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) skills development

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) specimen collection

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) supportive living service

  • Alcohol and/or other drug (also known as chemical dependency or substance abuse) treatment (service) plan development and/or modification

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