Behavioral Health Prior Authorization Update
Effective October 21, 2024:
For severe mental illness diagnoses, these codes will be rendered through the PIHP. For mild to moderate mental illness diagnoses no prior authorization is required.
Code | Description |
|---|---|
90791 | PSYCH DIAGNOSTIC EVALUATION |
90792 | PSYCH DIAG EVAL W/MED SRVCS |
90832 | PSYTX W PT 30 MINUTES |
90833 | PSYTX W PT W E/M 30 MIN |
90834 | PSYTX W PT 45 MINUTES |
90836 | PSYTX W PT W E/M 45 MIN |
90837 | PSYTX W PT 60 MINUTES |
90838 | PSYTX W PT W E/M 60 MIN |
90839 | PSYTX CRISIS INITIAL 60 MIN |
90840 | PSYTX CRISIS EA ADDL 30 MIN |
90847 | FAMILY PSYTX W/PT 50 MIN |
90853 | GROUP PSYCHOTHERAPY (NOT MX-FAMILY GROUP) |
G2214 | INIT/SUB PSY CCM 1ST 30 M IN MO OF BH CARE ACTY |
G2087 | OFF-BASED TX OUD AL 60 MIN SUBSEQ CALENDAR MO |
G2088 | OFF-BASED TX OUD EA ADD 30 MIN BYD 1ST 120 MIN |