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Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: tracking patient follow-up and progress using the registry, with appropriate documentation; participation in weekly caseload consultation with the psychiatric consultant; ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers; additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant; provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies; monitoring of patient outcomes using validated rating scales; and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment.

Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional (List separately in addition to code for primary procedure)

Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge Medical decision making of at least moderate complexity during the service period Face-to-face visit, within 14 calendar days of discharge

Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge Medical decision making of high complexity during the service period Face-to-face visit, within 7 calendar days of discharge

Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate

Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; each additional 30 minutes (List separately in addition to code for primary procedure)

Unlisted evaluation and management service

Home visit for prenatal monitoring and assessment to include fetal heart rate, non-stress test, uterine monitoring, and gestational diabetes monitoring

Home visit for postnatal assessment and follow-up care

Home visit for newborn care and assessment

Home visit for respiratory therapy care (eg, bronchodilator, oxygen therapy, respiratory assessment, apnea evaluation)

Home visit for mechanical ventilation care

Home visit for stoma care and maintenance including colostomy and cystostomy

Home visit for intramuscular injections

Home visit for care and maintenance of catheter(s) (eg, urinary, drainage, and enteral)

Home visit for assistance with activities of daily living and personal care

Home visit for individual, family, or marriage counseling

Home visit for fecal impaction management and enema administration

Home visit for hemodialysis

Unlisted home visit service or procedure

Home infusion/specialty drug administration, per visit (up to 2 hours)

Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure)

Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient

Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient

Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes (List separately in addition to code for primary service)

Dressing for one wound

Dressing for two wounds

Dressing for three wounds

Dressing for four wounds

Dressing for five wounds

Dressing for six wounds

Dressing for seven wounds

Dressing for eight wounds

Dressing for nine or more wounds

Anesthesia services performed personally by anesthesiologist

Medical supervision by a physician: more than four concurrent anesthesia procedures

Registered dietician

Specialty physician

Primary physician

Clinical psychologist

Principal physician of record

Clinical social worker

Non participating physician

Physician, team member service

Alternate payment method declined by provider of service

Determination of refractive state was not performed in the course of diagnostic ophthalmological examination

Physician providing a service in an unlisted health professional shortage area (hpsa)

Physician provider services in a physician scarcity area

Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery

Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)