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The CPT® Code 90882 refers to an environmental intervention conducted for medical management purposes on behalf of a psychiatric patient. This procedure involves a psychiatrist or another qualified mental health professional actively engaging with various external entities, such as agencies, employers, or institutions, to facilitate the patient's care and treatment. The primary goal of this intervention is to address specific environmental factors that may impact the patient's mental health and overall well-being. For example, the mental health professional may visit the patient's workplace to discuss with the employer the types of tasks or shifts that may not be suitable for the patient, thereby ensuring that the work environment aligns with the patient's therapeutic needs. Additionally, this intervention can extend to educational settings, where the professional may attend a child's school to provide support in managing conditions such as phobias, thereby promoting a more conducive environment for the patient's recovery and management of their psychiatric condition.
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The environmental intervention described by CPT® Code 90882 is indicated for various situations where a psychiatric patient's environment may adversely affect their mental health. This intervention is particularly relevant in the following contexts:
The procedure for conducting an environmental intervention under CPT® Code 90882 involves several key steps that ensure effective communication and collaboration between the mental health professional and the relevant external entities. Each step is crucial for the successful management of the patient's psychiatric condition.
Post-procedure care following an environmental intervention involves monitoring the patient's response to the changes made in their environment. The mental health professional may schedule follow-up appointments to evaluate the effectiveness of the intervention and make any necessary adjustments. Additionally, ongoing communication with the involved agencies, employers, or institutions is essential to ensure that the patient's needs continue to be met. The professional may also provide further recommendations or support as the patient navigates their environment, ensuring that the interventions remain aligned with the patient's therapeutic goals.
| Short Descr | ENVIRONMENTAL MANIPULATION | Medium Descr | ENVIRONMENTAL IVNTJ MGMT PURPOSES PSYC PT | Long Descr | Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions | Status Code | Non-Covered Service | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M5B - Specialist - psychiatry | MUE | 0 | CCS Clinical Classification | 218 - Psychological and psychiatric evaluation and therapy |
| GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | AJ | Clinical social worker | HO | Masters degree level | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | GJ | "opt out" physician or practitioner emergency or urgent service | SA | Nurse practitioner rendering service in collaboration with a physician | U6 | Medicaid level of care 6, as defined by each state | AH | Clinical psychologist | FQ | The service was furnished using audio-only communication technology | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 93 | Synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system : synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located away at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that is sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. | AF | Specialty physician | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CR | Catastrophe/disaster related | GT | Via interactive audio and video telecommunication systems | GZ | Item or service expected to be denied as not reasonable and necessary | HA | Child/adolescent program | HK | Specialized mental health programs for high-risk populations | HM | Less than bachelor degree level | HN | Bachelors degree level | HQ | Group setting | Q2 | Demonstration procedure/service | U1 | Medicaid level of care 1, as defined by each state |
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| 2001-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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