Beneficiaries   Providers   Home   UMD   About UMD   Contact Us   Search/Site Map 
Upstate Medicare Division
Providers
What's New What's New
Events for Providers Events
HIPAA HIPAA
Education for Providers Education
Comprehensive Error Rate Testing (CERT) Information CERT
Provider Bulletins and other Publications Publications
Local Coverage Determinations (LCDs) Local Coverage Determinations (LCDs)
Provider Enrollment Enrollment
National Provider Identifier (NPI) Information NPI
Billing Tips / Common Billing Errors Billing Info
Fee Schedule Info, Links to Physician and Clinical Lab Fees Fee Schedules
POE Advisory Group POE Advisory Group
Fraud Prevention Fraud Prevention
Electronic Data Interchange (EDI) Services EDI Services
ListServes ListServes
Links to Other Web Resources Links

Fee Schedules

< Back to the 2008 Specialty-Specific Information page

Clinical Psychologists/Clinical Social Workers - Revised 8-21-08
Posted August 21, 2008

Payment for the practitioner services of clinical psychologists and clinical social workers are made under fee schedules. The clinical psychologist fee schedule is equal to 100 percent of the physician fee schedule. The fee schedule for clinical social workers is set at 75 percent of the fee schedule for clinical psychologists.

Nonparticipating fee schedule amounts and limiting charges do not apply to services you furnish. Payment for services is made only under assignment.

All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2007 by the American Medical Association.

2008 Clinical Psychologist Fee Schedule (PAR)

Code Non-Facility Fee Facility* Fee
90801 $141.87 $121.92
90802 $150.33 $131.43
90804 $59.58 - for dates of service 1/1/08 - 6/30/08 $51.88 - for dates of service 1/1/08 - 6/30/08
$62.56 - for dates of service on and after 7/1/08 $54.47 - for dates of service on and after 7/1/08
90806 $84.64 - for dates of service 1/1/08 - 6/30/08 $79.39 - for dates of service 1/1/08 - 6/30/08
$88.87 - for dates of service on and after 7/1/08 $83.36 - for dates of service on and after 7/1/08
90808 $125.04 - for dates of service 1/1/08 - 6/30/08 $119.44 - for dates of service 1/1/08 - 6/30/08
$131.29 - for dates of service on and after 7/1/08 $125.41 - for dates of service on and after 7/1/08
90810 $63.21 - for dates of service 1/1/08 - 6/30/08 $56.56 - for dates of service 1/1/08 - 6/30/08
$66.37- for dates of service on and after 7/1/08 $59.39 - for dates of service on and after 7/1/08
90812 $91.92 - for dates of service 1/1/08 - 6/30/08 $83.87 - for dates of service 1/1/08 - 6/30/08
$96.52 - for dates of service on and after 7/1/08 $88.06 - for dates of service on and after 7/1/08
90814 $131.62 - for dates of service 1/1/08 - 6/30/08 $124.62 - for dates of service 1/1/08 - 6/30/08
$138.20 - for dates of service on and after 7/1/08 $130.85- for dates of service on and after 7/1/08
90816 $56.17 - for dates of service 1/1/08 - 6/30/08 $56.17 - for dates of service 1/1/08 - 6/30/08
$58.98 - for dates of service on and after 7/1/08 $58.98 - for dates of service on and after 7/1/08
90818 $83.65 - for dates of service 1/1/08 - 6/30/08 $83.65 - for dates of service 1/1/08 - 6/30/08
$87.83 - for dates of service on and after 7/1/08 $87.83 - for dates of service on and after 7/1/08
90821 $124.08 - for dates of service 1/1/08 - 6/30/08 $124.08 - for dates of service 1/1/08 - 6/30/08
$130.28 - for dates of service on and after 7/1/08 $130.28 - for dates of service on and after 7/1/08
90823 $60.68 - for dates of service 1/1/08 - 6/30/08 $60.68 - for dates of service 1/1/08 - 6/30/08
$63.71 - for dates of service on and after 7/1/08 $63.71 - for dates of service on and after 7/1/08
90826 $89.10 - for dates of service 1/1/08 - 6/30/08 $89.10 - for dates of service 1/1/08 - 6/30/08
$93.56 - for dates of service on and after 7/1/08 $93.56 - for dates of service on and after 7/1/08
90828 $129.29 - for dates of service 1/1/08 - 6/30/08 $129.29 - for dates of service 1/1/08 - 6/30/08
$135.75 - for dates of service on and after 7/1/08 $135.75 - for dates of service on and after 7/1/08
90845 $77.81 $76.06
90846 $82.45 $81.05
90847 $102.61 $97.36
90849 $30.72 $27.92
90853 $29.11 $27.36
90857 $32.71 $29.21
90880 $102.90 $93.44
96101 $81.00 $80.30
96102 $47.77 $21.52
96103 $37.15 $22.45
96105 $63.58 $63.58
96110 $10.03 $10.03
96111 $121.40 $119.30
96116 $89.99 $84.39
96118 $105.04 $82.99
96119 $66.46 $26.91
96120 $59.91 $22.10
97532 $22.41 $22.41
97533 $23.81 $23.81

2008 Clinical Social Worker Fee Schedule (PAR)

Code Non-Facility Fee Facility* Fee
90801 $106.40 $91.44
90802 $112.75 $98.57
90804 $44.69 - for dates of service 1/1/08 - 6/30/08 $38.91 - for dates of service 1/1/08 - 6/30/08
$46.92 - for dates of service on and after 7/1/08 $40.85 - for dates of service on and after 7/1/08
90806 $63.48 - for dates of service 1/1/08 - 6/30/08 $59.54 - for dates of service 1/1/08 - 6/30/08
$66.65 - for dates of service on and after 7/1/08 $62.52 - for dates of service on and after 7/1/08
90808 $93.78 - for dates of service 1/1/08 - 6/30/08 $89.58 - for dates of service 1/1/08 - 6/30/08
$98.47 - for dates of service on and after 7/1/08 $94.06 - for dates of service on and after 7/1/08
90810 $47.41 - for dates of service 1/1/08 - 6/30/08 $42.42 - for dates of service 1/1/08 - 6/30/08
$49.78 - for dates of service on and after 7/1/08 $44.54 - for dates of service on and after 7/1/08
90812 $68.94 - for dates of service 1/1/08 - 6/30/08 $62.90 - for dates of service 1/1/08 - 6/30/08
$72.39 - for dates of service on and after 7/1/08 $66.05 - for dates of service on and after 7/1/08
90814 $98.72 - for dates of service 1/1/08 - 6/30/08 $93.47 - for dates of service 1/1/08 - 6/30/08
$103.65 - for dates of service on and after 7/1/08 $98.14 - for dates of service on and after 7/1/08
90845 $58.36 $57.05
90846 $61.84 $60.79
90847 $76.96 $73.02
90849 $23.04 $20.94
90853 $21.83 $20.52
90857 $24.53 $21.91

* The following place of service codes identify facilities:
21 Inpatient Hospital 41 Ambulance - Land
22 Outpatient Hospital 42 Ambulance - Air or Water
23 Emergency Room - Hospital 51 Inpatient Psychiatric Facility
24 Ambulatory Surgical Center** 52 Psychiatric Facility - Partial Hospitalization
26 Military Treatment Facility 53 Community Mental Health Center
31 Skilled Nursing Facility 56 Psychiatric Residential Treatment Facility
34 Hospice 61 Comprehensive Inpatient Rehabilitation Facility

** Ambulatory Surgical Center (ASC) is only treated as a facility setting when an ASC list procedure is performed in an ASC.
go to top
 Beneficiaries   Providers   Home   UMD   About UMD   Contact Us   Search/Site Map 

This page updated
August 21, 2008
© 1998-2008 Upstate Medicare Division. All rights reserved.
Privacy Policy | Web Site Satisfaction Survey