Universal Clinical Codes & Terminology Search

Initial inpatient pediatric critical care per day for the evaluation and management of a critically ill infant or young child 2 through 5 years of age

Subsequent inpatient pediatric critical care per day for the evaluation and management of a critically ill infant or young child 2 through 5 years of age

Initial hospital care per day for the evaluation and management of the neonate 28 days of age or younger who requires intensive observation frequent interventions and other intensive care services

Subsequent intensive care per day for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1500 grams)

Subsequent intensive care per day for the evaluation and management of the recovering low birth weight infant (present body weight of 1500-2500 grams)

Subsequent intensive care per day for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams)

Total body systemic hypothermia in a critically ill neonate per day (List separately in addition to code for primary procedure)

Selective head hypothermia in a critically ill neonate per day (List separately in addition to code for primary procedure)

Assessment of and care planning for a patient with cognitive impairment requiring an independent historian in the office or other outpatient home or domiciliary or rest home with all of the following required elements: Cognition-focused evaluation including a pertinent history and examination; Medical decision making of moderate or high complexity; Functional assessment (eg basic and instrumental activities of daily living) including decision-making capacity; Use of standardized instruments for

Care management services for behavioral health conditions at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional per calendar month with the following required elements: initial assessment or follow-up monitoring including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems including revision for patients who are not progressing or whose status changes; facilit

Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient 24 months of age or younger includes two-way communication with transport team before transport at the referring facility and during the transport including data interpretation and report; first 30 minutes

Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient 24 months of age or younger includes two-way communication with transport team before transport at the referring facility and during the transport including data interpretation and report; each additional 30 minutes (List separately in addition to code for primary procedure)

Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient chronic conditions place the patient at significant risk of death acute exacerbation/decompensation or functional decline establishment or substantial revision of a comprehensive care plan moderate or high complexity medical decision making; 60 minutes of clinical staff time directed by a physician or other

Complex chronic care coordination services; first hour of clinical staff time directed by a physician or other qualified health care professional with one face-to-face visit per calendar month

Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient chronic conditions place the patient at significant risk of death acute exacerbation/decompensation or functional decline establishment or substantial revision of a comprehensive care plan moderate or high complexity medical decision making; 60 minutes of clinical staff time directed by a physician or other

Chronic care management services at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional per calendar month with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient; chronic conditions place the patient at significant risk of death acute exacerbation/decompensation or functional decline; comprehensive care plan established implemented revised or moni

Chronic care management services provided personally by a physician or other qualified health care professional at least 30 minutes of physician or other qualified health care professional time per calendar month with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient; chronic conditions place the patient at significant risk of death acute exacerbation/decompensation or functional decline; comprehensive

Initial psychiatric collaborative care management first 70 minutes in the first calendar month of behavioral health care manager activities in consultation with a psychiatric consultant and directed by the treating physician or other qualified health care professional with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional; initial assessment of the patient including administration o

Subsequent psychiatric collaborative care management first 60 minutes in a subsequent month of behavioral health care manager activities in consultation with a psychiatric consultant and directed by the treating physician or other qualified health care professional with the following required elements: tracking patient follow-up and progress using the registry with appropriate documentation; participation in weekly caseload consultation with the psychiatric consultant; ongoing collaboration with

Initial or subsequent psychiatric collaborative care management each additional 30 minutes in a calendar month of behavioral health care manager activities in consultation with a psychiatric consultant and directed by the treating physician or other qualified health care professional (List separately in addition to code for primary procedure)