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The CPT® Code 90885 refers to a comprehensive psychiatric evaluation that involves the review and analysis of various types of medical records and reports related to a patient's mental health. This evaluation is conducted by a psychiatrist or another qualified mental health professional and is aimed at gathering essential information for medical diagnostic purposes. The evaluation encompasses a thorough examination of hospital records, which may include documentation from both inpatient and outpatient settings, as well as reports from other psychiatric evaluations. Additionally, it involves the assessment of psychometric tests, which are standardized tools used to measure psychological variables, and projective tests, which are designed to uncover underlying thoughts and feelings through ambiguous stimuli. The accumulated data may also include information from drug or alcohol rehabilitation programs, initial diagnostic interviews, and group therapy sessions. This comprehensive approach ensures that the mental health professional has a well-rounded understanding of the patient's condition, facilitating accurate diagnosis and effective treatment planning.
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The psychiatric evaluation described by CPT® Code 90885 is indicated for various situations where a comprehensive understanding of a patient's mental health status is required. This evaluation is particularly relevant in the following contexts:
The procedure for conducting the psychiatric evaluation under CPT® Code 90885 involves several key steps to ensure a thorough assessment of the patient's mental health status. Each step is critical for gathering the necessary information for accurate diagnosis and treatment planning.
Post-procedure care following the psychiatric evaluation under CPT® Code 90885 typically involves the mental health professional discussing the findings with the patient. This may include explaining the diagnosis, treatment options, and any necessary follow-up appointments. The professional may also provide recommendations for further assessments or interventions based on the evaluation results. It is essential for the patient to understand the implications of the evaluation and the next steps in their treatment plan. Additionally, ongoing monitoring and support may be necessary to address any emerging issues or to adjust the treatment approach as needed.
| Short Descr | PSY EVALUATION OF RECORDS | Medium Descr | PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES | Long Descr | Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes | Status Code | Bundled Code | 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 | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | 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 |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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. | 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. | AH | Clinical psychologist | GT | Via interactive audio and video telecommunication systems | 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 | GZ | Item or service expected to be denied as not reasonable and necessary | U4 | Medicaid level of care 4, as defined by each state | X2 | Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services |
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| 1998-01-01 | Added | Code added |
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