HCPCS Code H2011

Official Description

Crisis intervention service, per 15 minutes

Short Descr	Crisis interven svc, 15 min
Coverage	Not payable by Medicare
Pricing Indicator(s)	00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
MPI	9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
BETOS	Z2 – Undefined codes
TOS Code(s)	9 – Other medical items or services
Added Date	4/1/2003
Status Code	Not Valid for Medicare Purposes
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
MUE	Not applicable/unspecified.
MUE	Not applicable/unspecified.
OTS Orthotic	No
CCS Clinical Classification	219 - Alcohol and drug rehabilitation/detoxification

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
HN	Bachelors degree level
HB	Adult program, non geriatric
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.
FQ	The service was furnished using audio-only communication technology
AJ	Clinical social worker
U4	Medicaid level of care 4, as defined by each state
HE	Mental health program
HO	Masters degree level
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.
GT	Via interactive audio and video telecommunication systems
HA	Child/adolescent program
HK	Specialized mental health programs for high-risk populations
HM	Less than bachelor degree level
HQ	Group setting
HT	Multi-disciplinary team
HW	Funded by state mental health agency
SA	Nurse practitioner rendering service in collaboration with a physician
TD	Rn
TG	Complex/high tech level of care
TS	Follow-up service
U1	Medicaid level of care 1, as defined by each state
U5	Medicaid level of care 5, as defined by each state
U7	Medicaid level of care 7, as defined by each state
U9	Medicaid level of care 9, as defined by each state