Behavioral Health Unit Limitations

Here's a sample list of the Tufts Health Plan's behavioral health codes and their related unit maximums, if applicable.
 

Code Modifier required Modifier Description Tufts Health Plan 
suggested unit max per day (per CPT)
Unit equals
Early intervention
H2019 Yes SE Comprehensive support services Unlimited 15 minutes
H2015 Yes AH Comp community support services Unlimited 15 minutes
H2015 Yes AJ/GN/GO/GP Services provided by Unlimited 15 minutes
T1015 Yes TL Clinic services all inclusive Unlimited 15 minutes
T1023 No   Screening for appropriateness Unlimited 15 minutes
T1023 Yes AH/AJ/GN/
GO/GP/HN
Program intake assessment (service provided by) Unlimited 15 minutes
T1024 No   Team evaluation and management Unlimited 15 minutes
T1024 Yes AH/AJ/GN/
GO/GP/HN
Services provided by Unlimited 15 minutes
T1027 Yes TL Family training and counseling Unlimited 15 minutes
Children Behavorial Health Initiative (CBHI)
H0038 No   Self-help/Peer services Unlimited 15 minutes
H2011 Yes HN/HO Therapeutic behavioral service Unlimited 15 minutes
H2014 Yes HN/HO Skills training and development Unlimited 15 minutes
T1017 Yes HN/HO Targeted case management Unlimited 15 minutes
H2019 Yes HN/HO Therapeutic behavioral service Unlimited 15 minutes
T1027 Yes EP Training and family counseling child Unlimited 15 minutes
Opioid treatment services
H0020 No   Methadone admin and/or service 1 1 unit = 1 dose
H0020 Yes UA Individual counseling 2 30 minutes
H0020 Yes HQ Group counseling 2 60 minutes
H0004 Yes TF Individual therapy counseling 4 15 minutes
H0005 Yes HQ Group therapy counseling 2 45 minutes
T1006 Yes HR Family/Couple therapy counseling 2 30 minutes
Transcranial magnial stimulation (TMS) Treatment, Management, and Delivery
90867 No   Initial treatment, including cortical mapping, motor threshold, determination, delivery, and TMS 1 1 per day
90868 No   Subsequent delivery and management, per session therapeutic repetitive and TMS 1 1 per day
90869 No   Subsequent motor threshold redetermination with delivery and management 1 1 per day
90870 No   Electroconvulsive therapy (ECT) 1 1 per day
Other behavioral health services
90882 No   Environmental intervention - medical management with agency 6 15 minutes
90887 No   Interpretation or explanation of results 6 15 minutes
S9485 Yes U1/HE/HP Emergency service program (ESP) 1 1 per day
H0046 Yes UK Collateral contacts and case consultation 8 15 minutes
 
plans card