Current Procedural Terminology (CPT) codes reflect appointment complexity and can help you recoup time you’ve spent consulting with MC3 and managing patients with chronic mental health concerns.
99452
For consultation with MC3. May be reported by a physician, N.P., P.A. Includes time preparing for the referral and/or communicating with the consultant. Requires a minimum of 16 minutes and cannot be billed on the same day as an Evaluation & Management (E/M) service.
99213-99215
E/M codes for established patients. Use the appropriate E/M code that includes the extended time needed to consult with MC3 same-day.
99203-99205
E/M codes for new patients. Use the appropriate E/M code that includes the extended time needed to consult with MC3 same-day.
99417
For each additional 15 minutes beyond the required time for the primary E/M code
99484
For care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other Qualified Health Professional (QHP), per calendar month
96127
For mental health screens (e.g. PHQ-9, GAD-7, Vanderbilt)
96110
For developmental screens (e.g. M-CHAT)