Table 2.
United States reimbursement codes for any behavioral health integrated level.
| Code | Use |
|---|---|
| GO444 (15 min) G8431(HD modifier) G8510 (−screen, HD modifier) G8431 (+ screen, HD modifier) |
Annual depression screen using PHQ-2 |
| 96127 | Suicide risk high, further suicide screening with behavioral health assessment and documentation |
| 99213-99214 | PCP code for higher EM time/complexity when PHQ-9 question #9 is positive or other concern for suicide |
| 90792 (full biopsychosocial assessment) 99205 (new patient visit, Medicare) 99214 or 99215 (EM code for time/complexity) |
Psychiatric Provider visit |
| 90839 (60 min for psychiatric crisis) 90840 (added complexity for crisis/time) OR 90847 (45-min psychotherapy code) 90791 (full biopsychosocial assessment) |
Behavioral health provider (non-prescriber) visit |
| 90834 BH Visit 90839/90840 Crisis visit |
Complete suicidality scale (e.g., C-SSRS) since last visit, update risk assessment and safety plan |
| 96127 | Brief assessment for suicide risk (can be used 4x yearly) or other brief assessments of mental illness |
| 90834 BH Visit 90839/90840 Crisis visit |
Complete suicidality scale (e.g., C-SSRS) since last visit, update risk assessment and safety plan |
| 96127 | Brief assessment for suicide risk (can be used 4x yearly) or other brief assessments of mental illness |
| G8431 (with HD modifier) | Clinical depression screening is positive, with follow up plan |
| G8510 (with HD modifier, replacing 99420) | Clinical depression screening is negative |
| 96127 | Screening with brief emotional assessment including scoring/documentation on a standardized instrument |
| 96191 | Caregiver-focused health risk assessment instrument Maternal depression screening during well-child visit, billed under child |
| 99452 | Referring or treating provider spends 30+ min providing patient information to a consultant aided by relevant electronic media |
BH, Behavioral Health; C-SSR, Columbia-Suicide Severity Rating Scale; EM, evaluation and management provided by a physician or other qualified health professional; HD, pregnant/parenting women's program; PHQ, Patient Health Questionnaire.
From the Educational Development Center (EDC) Zero Suicide Institute. Financing Suicide Prevention. Available online at: https://zerosuicide.edc.org/resources/key-resources/financing-suicide-prevention.