Initial Combined Assessment (ICA) - Department of Public Health

7ProcedureCodeDescription When to Use MaximumUnits ofServiceReimbursementper Unit of ServiceMaximumReimbursement 1Assessment, Treatment, and/orIntervention, Group, per patient, each 15minutes (Maximum of 4 hours)in a group class.Z6308Postpartum Psychosocial Assessment,Treatment, and/or Intervention, includingupdate of Care Plan, Individual, each 15minutes(Maximum of 12 hours)1) Postpartum psychosocialassessment;2) Postpartum psychosocialintervention, e.g. postpartumdepression6 $8.41 $50.46HEALTH EDUCATION CODESZ6400 Client Orientation, Individual, each 15minutes (Maximum of 2 hours)Initial individual orientation(required); orientation requiredduring pregnancy, e.g. when patientis referred to hospital for non-stresstest.8 $8.41 $67.28Z6402Initial Health Education Assessment andDevelopment of Care Plan, Individual,first 30 minutesFor first 30 minutes of Initial HealthEducation Assessment when InitialCPSP Assessment not completedwithin 4 weeks of Initial PrenatalExam (Z1032).1 $16.83 $16.83Z6404Initial Health Education Assessment andDevelopment of Care Plan, Individual,each subsequent 15 minutes (Maximumof 2 hours)1) Time spent doing initialassessment exceeded 30 minutesin health education component(either Z6500 or Z6402 used);2) AEntirely new problem@diagnosed later in pregnancyrequiring a new health educationassessment.8 $8.41 $67.28Z6406Follow-up Antepartum Health EducationAssessment, Treatment, and/orIntervention, Individual, each 15 minutes(Maximum of 2 hours)Trimester reassessment;antepartum counseling or otherintervention, such as by healtheducation consultant.8 $8.41 $67.28Z6408 Follow-up Antepartum Health Education Health education provided in a 8 $2.81 $22.48