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The CPT® Code 90889 refers to the preparation of a detailed report concerning a patient's psychiatric status, history, treatment, or progress. This report is specifically intended for distribution to other individuals, agencies, or insurance carriers, and it is crucial that appropriate written consent from the patient is obtained prior to sharing this information. The report encompasses a comprehensive overview of the patient's psychiatric condition, including relevant historical data and current treatment details, as well as an assessment of the patient's progress throughout their psychiatric care. It is important to note that this code is not applicable when the report is prepared for legal purposes or in connection with consultative services, ensuring that its use is strictly limited to non-legal contexts where patient consent has been duly secured.
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The preparation of a psychiatric report using CPT® Code 90889 is indicated in various scenarios where a comprehensive understanding of a patient's mental health status is required. This may include situations where the patient's treatment history, current psychiatric condition, and progress need to be communicated to other healthcare providers, agencies, or insurance companies. The report serves to facilitate continuity of care and ensure that all parties involved have access to pertinent information regarding the patient's psychiatric treatment.
The procedure for preparing the report under CPT® Code 90889 involves several key steps that ensure the report is comprehensive and accurate. First, the clinician must gather all relevant information regarding the patient's psychiatric history, including previous diagnoses, treatment modalities, and any significant life events that may impact the patient's mental health. This information is typically collected through clinical interviews, patient records, and standardized assessment tools.
After the preparation and distribution of the psychiatric report, it is essential to monitor any feedback or requests for additional information from the recipients. The clinician may need to be available for follow-up discussions or clarifications regarding the report's content. Additionally, the clinician should document the completion of the report and the consent process in the patient's medical record to maintain compliance with legal and ethical standards. It is also important to ensure that the patient is informed about who has received their report and to address any concerns they may have regarding the sharing of their psychiatric information.
| Short Descr | PREPARATION OF REPORT | Medium Descr | PREP REPORT PT PSYCH STATUS AGENCY/PAYER | Long Descr | Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers | 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 |
| QJ | Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b) | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 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. | AF | Specialty physician |
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| 2013-01-01 | Changed | Description Changed |
| 2001-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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