Billing Code Guide by Virginia Purnell

90899-17

Mental Health Service

90899-150

Mental Health

Service

Non-Billable

90899-1

Case Management

90899-5

Case Management Non-Billable

90899-70

Group Therapy NonBillable

90899-6

Mental Health Assessment

90899-13

Mental Health Assessment

Non-Billable

90899

Crisis Psych Service

99078

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:

 

*Skill-Building

 

*Coaching

 

*Modeling

 

*Role-play

 

*Active listening

 

*Reframing

 

*Reality testing

 

*Problem solving

 

*Supporting

 

*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:

 

*Linkage

 

*Consultation

 

*Collaboration

 

*Placement

 

(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.

 

*Translating

 

*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