N.Y. Comp. Codes R. & Regs. tit. 8 § 333.2

Current through Register Vol. 46, No. 45, November 2, 2024

Section 333.2 - Responsibilities

(a) The behavioral health fee schedule for psychology services shall be the Official New York Workers' Compensation Behavioral Health Fee Schedule, updated December 11, 2019, prepared by the Board and published by OptumInsight, which is herein incorporated by reference.

(b) The Official New York Workers' Compensation Behavioral Health Fee Schedule incorporated by reference herein may be examined at the office of the Department of State, One Commerce Plaza, 99 Washington Avenue, Albany, NY 12231, the Legislative Library, the libraries of the New York State Supreme Court, and the district offices of the board. Copies may be purchased from OptumInsight, by writing to Official New York Workers' Compensation Fee Schedule, PO Box 88 050, Chicago, IL 60680-9920; by telephone at 1-800-464-3641, option 1; or online at www.optum36-coding.com keyword New York or https://www.optum360coding.com/Product/40508/.

(c) When medically appropriate, authorized providers, including psychologists and licensed clinical social workers, shall use a Common Procedural Technology (CPT) therapy code (90832, 90834, or 90837) for services delivered by telemedicine in accordance with section 325-1.8 of this Title using modifier 95 and indicating 11 as the place of service for therapy by telemedicine using two-way audio and visual communication. Modifiers 1B and 1D are available when services are rendered by telemedicine using two-way audio and visual communication. When services are rendered by telephone only in accordance with section 325-1.8 of this Title, the authorized provider shall indicate 02 as the place of service. Modifiers 1B and 1D are not available when services are rendered by telephone with no visual component. Group therapy: 90853. Group therapy is limited to a maximum of 20 participants and does not require that every participant in the group therapy session be a workers' compensation claimant.

N.Y. Comp. Codes R. & Regs. Tit. 8 § 333.2

Amended New York State Register January 27, 2021/Volume XLIII, Issue 04, eff. 1/18/2021