Billing Code Guide by Virginia Purnell


Mental Health Service


Mental Health




Case Management


Case Management Non-Billable


Group Therapy NonBillable


Mental Health Assessment


Mental Health Assessment



Crisis Psych Service


Group Educational

* Services designed to target specific problematic behaviors and impairments, restore or maintain stability, teach client skills, improve, maintain or restore skills.


Examples of interventions that can be implemented by non-licensed staff:










*Active listening




*Reality testing


*Problem solving




*Developing Insight


*Expressing Empathy


*Developing  Discrepancies

*Working with a MH symptom that is not on TCP (CFS/objective).


*Working solely with substance abuse issues.


*Socialization and recreation.


*Following up with a non-engaged member.


*Services provided to member in hospital or jail.


*Services on the day a member d/c from hospital or jail.


*Service to diagnoses that are “not included” diagnoses.



*Services needed to access medical, educational, vocational, rehabilitative and or community services.


*Documentation is needed as to why the member is not able to access these resources by themselves (e.g., as a result of their symptoms labeled on their TCP).


This may include:










(Essentially these services are done on behalf of the member - i.e., without the member. Services with the member should be seen as MHS, either billable or non-billable).


*Consultation with other members of recovery team, when there is a change to the member's treatment plan.


*Completing d/c summary.




*Leaving and receiving  voicemail messages.


*Travel time when no service was provided to member (transportation).


*Travel time between two MediCal billing sites.


*Services on the day a member d/c from hospital of jail.


*Clerical functions


*Scheduling and rescheduling appointments.


*Consultation with other members of recovery team, when there is no change to the member's treatment plan.



*Groups that cannot be linked back to MH impairment (on CFS/objective).


*prep time for groups can be included as NFTF time in a group note.




*Assessment on day of admission.


*Meeting with member to gather information for TCP.


*Formulating TCP.


*Meeting with member to review completed TCP and agree on working together on objectives, signing TCP.


*Completing Personal Crisis and Being Aware of Harm

*Reviewing chart/notes to prepare for a TCP.



*Unplanned service/event that if not immediately treated will result in imminent threat to member or others.

*Groups that can be linked back to the members MH impairment (on CFS/objective)

*Activities that are considered administrative and are not to be entered into Caminar

·         Consulting professional journals, texts.

·         Auditing Charts

·         Attending clinical case conferences when you are not actively involved in the treatment of client in discussion.

Chart Non-Compliant codes

90899-106 Case Management Chart Non-Compliant 

90899-161 Mental Health Service Chart Non-Compliant 

90899-108 Group Therapy Chart Non-Compliant 

90899-109 Medication Service Chart Non-Compliant