Crosswalk of 2012 CPT 4 codes to 2013 CPT 4 codes

The following code changes for behavioral health are effective January 1, 2013. Crosswalk of 2012 CPT 4 codes to 2013 CPT 4 codes 2012 Code (Deleted as of January 1, 2013) 90801 Psychiatric diagnostic interview evaluation 90802 Interactive Psychiatric diagnostic interview examination using play equipment, physical devices, language interpreter or other mechanisms of communication 90804 Individual psychotherapy, insight oriented, office or outpatient facility, approximately 20 to 30 minutes face to face with the patient 2013 New Replacement Code Replaced with 90791 Psychiatric diagnostic evaluation Replaced with 90792 Psychiatric diagnostic evaluation with medical services Evaluation and Management new patient codes may be used in lieu of 90792. (Evaluation and Management codes are limited to those providers eligible to provide Replaced with 90791 Psychiatric diagnostic evaluation Replaced with 90792 Psychiatric diagnostic evaluation with medical services Evaluation and Management new patient codes may be used in lieu of 90792. (Evaluation and Management codes are limited to those providers eligible to provide Code 90785 may be billed in addition to 90791/90792 when appropriate 90832 Psychotherapy, 30 minutes with patient and/or family member 90805 Individual psychotherapy, insight oriented, office or outpatient facility, approximately 20 to 30 minutes face to face with the patient with medical evaluation and management services 90833 Psychotherapy, 30 minutes with patient and/or family member 90806 Individual psychotherapy, insight oriented, office or outpatient facility, approximately 45 to 50 minutes face to face with the patient 90834 Psychotherapy, 45 minutes with patient and/or family member 90807 Individual psychotherapy, insight oriented, office or outpatient facility, approximately 45 to 50 minutes face to face with the patient with medical evaluation and management services 90836 Psychotherapy, 45 minutes with patient and/or family member Page 1 of 10

2012 Code (Deleted as of January 1, 2013) 2013 New Replacement Code 90808 Individual psychotherapy, insight oriented, office or outpatient facility, approximately 75 to 80 minutes face to face with the patient 90837 Psychotherapy, 60 minutes with patient and/or family member 90809 Individual psychotherapy, insight oriented, office or outpatient facility, approximately 75 to 80 minutes face to face with the patient with medical evaluation and management services 90810 Individual psychotherapy, interactive, using approximately 20 to 30 minutes face to face with the patient 90811 Individual psychotherapy, interactive, using approximately 20 to 30 minutes face to face with the patient; with medical evaluation and management services 90812 Individual psychotherapy, interactive, using approximately 45 to 50 minutes face to face with the patient 90813 Individual psychotherapy, interactive, using approximately 45 to 50 minutes face to face with the patient; with medical evaluation and management services 90814 Individual psychotherapy, interactive, using approximately 75 to 80 minutes face to face with the patient 90838 Psychotherapy, 60 minutes with patient and/or family member 90832 Psychotherapy, 30 minutes with patient and/or family member Code 90785 may be billed in addition to 90832 when appropriate 90833 Psychotherapy, 30 minutes with patient and/or family member Code 90785 may be billed in addition to 90833 when appropriate 90834 Psychotherapy, 45 minutes with patient and/or family member Code 90785 may be billed in addition to 90834 when appropriate 90836 Psychotherapy, 45 minutes with patient and/or family member Code 90785 may be billed in addition to 90836 when appropriate 90837 Psychotherapy, 60 minutes with patient and/or family member Code 90785 may be billed in addition to 90837 when appropriate Page 2 of 10

2012 Code (Deleted as of January 1, 2013) 90815 Individual psychotherapy, interactive, using approximately 75 to 80 minutes face to face with the patient; with medical evaluation and management services 90816 Individual psychotherapy, insight oriented, care setting, approximately 20 to 30 minutes face to face with the patient 90817 Individual psychotherapy, insight oriented, care setting, approximately 20 to 30 minutes face to face with the patient; with medical examination and management services 90818 Individual psychotherapy, insight oriented, care setting, approximately 45 to 50 minutes face to face with the patient 90819 Individual psychotherapy, insight oriented, care setting, approximately 45 to 50 minutes face to face with the patient; with medical examination and management services 90821 Individual psychotherapy, insight oriented, care setting, approximately 75 to 80 minutes face to face with the patient 90822 Individual psychotherapy, insight oriented, care setting, approximately 75 to 80 minutes face to face with the patient; with medical examination and management services 2013 New Replacement Code 90838 Psychotherapy, 60 minutes with patient and/or family member Code 90785 may be billed in addition to 90838 when appropriate 90832 Psychotherapy, 30 minutes with patient and/or family member 90833 Psychotherapy, 30 minutes with patient and/or family member 90834 Psychotherapy, 45 minutes with patient and/or family member 90836 Psychotherapy, 45 minutes with patient and/or family member 90837 Psychotherapy, 60 minutes with patient and/or family member 90838 Psychotherapy, 60 minutes with patient and/or family member Page 3 of 10

2012 Code (Deleted as of January 1, 2013) 90823 Individual psychotherapy, interactive, using 20 to 30 minutes face to face with the patient 90824 Individual psychotherapy, interactive, using 20 to 30 minutes face to face with the patient; with medical examination and management services 90826 Individual psychotherapy, interactive, using 45 to 60 minutes face to face with the patient 90827 Individual psychotherapy, interactive, using 45 to 50 minutes face to face with the patient; with medical examination and management services 90828 Individual psychotherapy, interactive, using 75 to 80 minutes face to face with the patient 90829 Individual psychotherapy, interactive, using 75 to 80 minutes face to face with the patient; with medical examination and management services 90862 Pharmacologic management, including prescription, use and review of medication with no more than minimal medical psychotherapy 2013 New Replacement Code 90832 Psychotherapy, 30 minutes with patient and/or family member Code 90785 may be billed in addition to 90832 when appropriate 90833 Psychotherapy, 30 minutes with patient and/or family member Code 90785 may be billed in addition to 90833 when appropriate 90834 Psychotherapy, 45 minutes with patient and/or family member Code 90785 may be billed in addition to 90834 when appropriate 90836 Psychotherapy, 45 minutes with patient and/or family member Code 90785 may be billed in addition to 90836 when appropriate 90837 Psychotherapy, 60 minutes with patient and/or family member Code 90785 may be billed in addition to 90837 when appropriate 90838 Psychotherapy, 60 minutes with patient and/or family member Code 90785 may be billed in addition to 90838 when appropriate The appropriate evaluation and management code should be used in replacement of 90862 90863 Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services (list separately in addition to the code for primary procedure). This service is limited to Clinical Psychologists in the states of New Mexico and Louisiana who have been granted prescribing privileges. Page 4 of 10

2012 Code (Deleted as of January 1, 2013) 2013 Existing Replacement Code 90857 Interactive group psychotherapy 90853 Group medical psychotherapy New Codes for 2013 90785 Interactive complexity (list separately in addition to the code for primary procedure) 90839 Psychotherapy for crisis; first 60 minutes 90840 Psychotherapy for crisis; each additional 30 minutes (list separately in addition to code for primary service) Additional Evaluation and Management * codes added to providers on a Behavioral Health Fee Schedule effective January 1st, 2013 (codes listed are in addition to the current evaluation and management codes currently included on the Behavioral Health Fee Schedule) * Please note that Evaluation and Management codes are limited to those providers eligible to use evaluation and management codes. 99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straight forward medical decision making. Counseling nature of the problem(s) and the patients and/or family needs, usually the presenting problem(s) are self limited or minor, typically 10 minutes are spent face to face with the patient and/or family 99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straight forward medical decision making. Counseling nature of the problem(s) and the patients and/or family needs, usually the presenting problem(s) are self limited or minor, typically 20 minutes are spent face to face with the patient and/or family 99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straight forward medical decision making. Counseling nature of the problem(s) and the patients and/or family needs, usually the presenting problem(s) are self limited or minor, typically 30 minutes are spent face to face with the patient and/or family Page 5 of 10

99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straight forward medical decision making. Counseling nature of the problem(s) and the patients and/or family needs, usually the presenting problem(s) are self limited or minor, typically 45 minutes are spent face to face with the patient and/or family 99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straight forward medical decision making. Counseling nature of the problem(s) and the patients and/or family needs, usually the presenting problem(s) are self limited or minor, typically 60 minutes are spent face to face with the patient and/or family 99211 Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified healthcare professional. Usually the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services. 99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straight forward medical decision making. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs, usually the presenting problem(s) are self limited or minor, typically 10 minutes are spent face to face with the patient and/or family 99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs, usually the presenting problem(s) are of low to moderate severity, typically 15 minutes are spent face to face with the patient and/or family 99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling nature of the problem(s) and the patients and/or family needs, usually the presenting problem(s) are of moderate to high severity, typically 25 minutes are spent face to face with the patient and/or family 99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs, usually the presenting problem(s) are of moderate to high severity, typically 40 minutes are spent face to face with the patient and/or family. 99217 Observation care discharge day management (this code is to be utilized to report all services provided to a patient on discharge from "Observation status" if the discharge is on other then the initial date of "Observation status". To report services to a patient designated as "Observation status" or "Inpatient status" and discharged on the same date, use the codes for observation or inpatient care services (including admission and discharge services 99234 99236 as appropriate). 99218 Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and medical decision making that is straight forward or of low complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the problem(s) requiring admission to "Observation status" are of low severity. Typically 30 minutes are spent face to face at the bedside and on the patient s hospital floor or unit. Page 6 of 10

99219 Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A comprehensive history; A comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the problem(s) requiring admission to "Observation status" are of moderate severity. Typically 50 minutes are spent face to face at the bedside and on the patient s hospital floor or unit. 99220 Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A comprehensive history; A comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the problem(s) requiring admission to "Observation status" are of high severity. Typically 70 minutes are spent face to face at the bedside and on the patient s hospital floor or unit. 99224 Subsequent observation care, per day, for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused interval examination; Medical decision making that is straight forward or of low complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the patient is stable, recovering or improving, typically 15 minutes are spent at the bedside and on the patient s hospital floor or unit. 99225 Subsequent observation care, per day, for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused interval examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically 25 minutes are spent at the bedside and on the patient s hospital floor or unit. 99226 Subsequent observation care, per day, for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the patient is unstable or has developed a significant complication or significant new problem. Typically 35 minutes are spent at the bedside and on the patient s hospital floor or unit. 99304 Initial nursing facility care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and medical decision making that is straight forward or of low complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the problem(s) requiring admission are of low severity. Typically 25 minutes are spent face to face at the bedside and on the patient s facility floor or unit. 99305 Initial nursing facility care, per day, for the evaluation and management of a patient which requires these 3 key components: A comprehensive history; A comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the problem(s) requiring admission are of moderate severity. Typically 35 minutes are spent face to face at the bedside and on the patient s facility floor or unit. 99306 Initial nursing facility care, per day, for the evaluation and management of a patient which requires these 3 key components: A comprehensive history; A comprehensive examination; and medical decision making of high complexity. Counseling nature of the problem(s) and the patients and/or family needs. Usually, the problem(s) requiring admission are of high severity. Typically 45 minutes are spent face to face at the bedside and on the patient s facility floor or unit. 99307 Subsequent nursing facility care, per day, for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Straight forward medical decision making. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the patient is stable, recovering or improving. Typically, 10 minutes are spent at the bedside and on the patient s facility floor or unit. Page 7 of 10

99308 Subsequent nursing facility care, per day, for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically 15 minutes are spent at the bedside and on the patient s facility floor or unit. 99309 Subsequent nursing facility care, per day, for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed interval examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the patient has developed a significant complication or a significant new problem. Typically 25 minutes are spent at the bedside and on the patient s facility floor or unit. 99310 Subsequent nursing facility care, per day, for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other healthcare professionals or agencies are provided consistent with the nature of the problem(s) and the patients and/or family needs. The patient may be unstable or may have developed a significant new problem requiring immediate Physician attention. Typically 35 minutes are spent at the bedside and on the patient s facility floor or unit. 99315 Nursing facility discharge day management; 30 minutes or less 99365 Nursing facility discharge day management; more than 30 minutes 99318 Evaluation and Management of a patient involving an annual nursing facility assessment, which requires these 3 key components: A detailed interval history; A comprehensive examination; and medical decision making of low to moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the patient is stable, recovering or improving. Typically, 30 minutes are spent at the bedside on the patient s facility floor or unit. 99324 Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and straight forward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent with the patient and/or family or caregiver. 99325 Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent with the patient and/or family or caregiver. 99326 Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent with the patient and/or family or caregiver. 99327 Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent with the patient and/or family or caregiver. Page 8 of 10

99328 Domiciliary or rest home visit for the evaluation and management of an established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate Physician attention.. Typically, 75 minutes are spent with the patient and/or family or caregiver. 99334 Domiciliary or rest home visit for the evaluation and management of a new patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straight forward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are selflimited or minor. Typically, 15 minutes are spent with the patient and/or family or caregiver. 99335 Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of low to moderate complexity. Typically, 25 minutes are spent with the patient and/or family or caregiver. 99336 Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent with the patient and/or family or caregiver. 99337 Domiciliary or rest home visit for the evaluation and management of an established patient, which requires 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; and medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate Physician attention. Typically, 60 minutes are spent with the patient and/or family or caregiver. 99341 Home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and straight forward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent face to face with the patient and/or family 99342 Home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face to face with the patient and/or family. 99343 Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face to face with the patient and/or family. 99344 Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent face to face with the patient and/or family. Page 9 of 10

99345 Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate Physician attention. Typically, 75 minutes are spent face to face with the patient and/or family. 99347 Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; and straight forward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face to face with the patient and/or family 99348 Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of low to moderate complexity. Typically, 25 minutes are spent face to face with the patient and/or family. 99349 Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of moderate to high complexity. Typically, 40 minutes are spent face to face with the patient and/or family. 99350 Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals or agencies are provider consistent with the nature of the problem(s) and the patients and/or family needs. Usually, the presenting problem(s) are of moderate to high complexity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent face to face with the patient and/or family. 99408 Alcohol and/or Substance (other than tobacco) abuse structured screening (e.g., AUDIR, DAST), and brief intervention (SBI services); 15 to 30 minutes 99409 Alcohol and/or Substance (other than tobacco) abuse structured screening (e.g., AUDIR, DAST), and brief intervention (SBI services); greater than 30 minutes Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies. The Aetna companies that offer, underwrite or administer benefits coverage include Aetna Health Inc., Aetna Health of California Inc., Aetna Life Insurance Company, Aetna Health Insurance Company of New York, Aetna Health Insurance Company, Aetna Health Administrators, LLC, and Strategic Resource Company. The EAP is administered by Aetna Behavioral Health, LLC, Horizon Behavioral Services, LLC, Resources For Living, LLC, Aetna Health of California Inc., and Health and Human Resources Company, Inc. (Aetna) Aetna Behavioral Health refers to an internal business unit of Aetna. Page 10 of 10