CPT® Code 0822T | Case2Code

Official Description

Continuous in-person monitoring and intervention (eg, psychotherapy, crisis intervention), as needed, during psychedelic medication therapy; clinical staff under the direction of a physician or other qualified health care professional, concurrent with first physician or other qualified health care professional, each hour (List separately in addition to code for primary procedure)

Common Language Description

The CPT® Code 0822T refers to the process of continuous in-person monitoring and intervention during psychedelic medication therapy. This procedure involves clinical staff who operate under the direction of a physician or another qualified healthcare professional. The monitoring occurs concurrently with the primary physician's or qualified professional's involvement, and it is billed separately for each hour of service provided. The primary aim of this procedure is to ensure the safety and well-being of the patient throughout the psychedelic therapy session. During this time, clinical staff assess the patient's mental and emotional states, identify any risk factors, and facilitate the therapeutic process by addressing the patient's goals and concerns. The environment is designed to promote self-reflection and emotional processing, allowing the patient to engage with the therapy effectively. The session typically lasts between five to seven hours, during which the patient self-administers the psychedelic medication while being closely monitored by the clinical staff. This structured approach is essential for providing the necessary support and interventions as the patient navigates their emotional experiences during the therapy.

1. Indications

The procedure described by CPT® Code 0822T is indicated for patients undergoing psychedelic medication therapy. The following conditions and circumstances warrant the need for continuous in-person monitoring and intervention:

Psychedelic Medication Therapy Patients receiving psychedelic medications for therapeutic purposes require close monitoring to ensure safety and effectiveness during the session.
Emotional and Mental Health Assessment Individuals with mental health conditions may need support to navigate their emotional states during therapy.
Risk Factor Identification Patients with identified risk factors that could affect their response to psychedelic therapy necessitate ongoing observation and intervention.
Therapeutic Goals and Concerns Patients who have specific therapeutic goals or concerns that need to be addressed during the session benefit from continuous support.

2. Procedure

The procedure for CPT® Code 0822T involves several key steps to ensure effective monitoring and intervention during psychedelic medication therapy:

Step 1: Review of Current Medications and Clinical History Before the therapy session begins, the clinical staff reviews the patient's current medications and clinical history to understand their medical background and any potential contraindications.
Step 2: Assessment of Mental and Emotional States The patient's mental and emotional states are assessed to establish a baseline and identify any immediate concerns that may arise during the therapy.
Step 3: Identification of Risk Factors Risk factors that could impact the patient's experience are identified, allowing the clinical staff to prepare for any necessary interventions.
Step 4: Establishing a Conducive Environment The environment is set up to promote self-reflection and emotional processing, which may include playing music, providing a light-blocking eye mask, or arranging comfortable seating.
Step 5: Self-Administration of Psychedelic Medication The patient self-administers the psychedelic medication while being closely monitored by the clinical staff to ensure safety and provide support as needed.
Step 6: Continuous Monitoring and Intervention Throughout the session, the clinical staff continuously monitors the patient's mental and emotional state, providing therapeutic interventions as necessary to guide the patient through their emotional processing.

3. Post-Procedure

After the completion of the psychedelic therapy session, the patient may require additional support to process their experiences. The clinical staff should provide a debriefing session to discuss the patient's feelings and insights gained during the therapy. It is essential to monitor the patient for any delayed reactions or emotional responses that may surface after the session. Follow-up care may be necessary to ensure the patient integrates their experiences effectively and to address any ongoing mental health needs. Documentation of the session, including the patient's responses and any interventions provided, is crucial for compliance and future reference.

Short Descr	MNTR PSYCHDLC MED CLN STAFF
Medium Descr	CONT IP MNTR&IVNTJ PSYCHEDELIC MED THERAPY STAFF
Long Descr	Continuous in-person monitoring and intervention (eg, psychotherapy, crisis intervention), as needed, during psychedelic medication therapy; clinical staff under the direction of a physician or other qualified health care professional, concurrent with first physician or other qualified health care professional, each hour (List separately in addition to code for primary procedure)
Status Code	Carriers Price the Code
Global Days	ZZZ - Code Related to Another Service
PC/TC Indicator (26, TC)	0 - Physician Service Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Items and Services Packaged into APC Rates
Berenson-Eggers TOS (BETOS)	none
MUE	1

This is an add-on code that must be used in conjunction with one of these primary codes.

0820T

MPFS Status: Carrier Priced APC M Continuous in-person monitoring and intervention (eg, psychotherapy, crisis intervention), as needed, during psychedelic medication therapy; first physician or other qualified health care professional, each hour