ALLOWED AGE | PROC CODE | Procedure Code | DESCRIPTION | MAXIMUM ALLOWANCE |
ALL AGES | 96150 | Clinical Assessment-Initial | $20.64/ 15 MINUTES | |
ALL AGES | 96151 | Clinical Reassessment | $20.36/15 MINUTES | |
ALL AGES | 97532 | Intensive Integrated Neurorehabilitation | $26.02/ 15 MINUTES | |
ALL AGES | 96152 | Neurobehavioral Rehabilitation- 1:1 with member | $20.98/ 15 MINUTES | |
ALL AGES | 96153 | Neurobehavioral Rehabilitation- group | $20.91/ 15 MINUTES | |
ALL AGES | 96154 | Neurobehavioral Rehabilitation- family | $20.07/15 MINUTES | |
ALL AGES | 97535 | Self Care/Home Management Reintegration | $14.39/ 15 MINUTES | |
ALL AGES | 97535 HQ | Self Care/Home Management Reintegration- group | $ 14.39/ 15 MINUTES | |
ALL AGES | 97537 | Community/Work Reintegration | $14.05/15 MINUTES | |
ALL AGES | 97537 HQ | Community /Work Reintegration- group | $14.05/15 MINUTES |
10-144 C.M.R. ch. 101, § III-102