applicable site of service

(12) Payment for psychotherapy for crisis services furnished in an applicable site of service (A) In general The Secretary shall establish new HCPCS codes under the fee schedule established under this subsection for services described in subparagraph (B) that are furnished on or after January 1, 2024 . (B) Services described The services described in this subparagraph are psychotherapy for crisis services that are a furnished in an applicable site of service. (C) Amount of payment For services described in subparagraph (B) that are furnished to an individual in a year (beginning with 2024), in lieu of the fee schedule amount that would otherwise be determined under this subsection for such year, the fee schedule amount for such services for such year shall be equal to 150 percent of the fee schedule amount for non-facility sites of service for such year determined for services identified, as of January 1, 2022 , by HCPCS codes 90839 and 90840 (and any succeeding codes). (D) Definitions In this paragraph: (i) Applicable site of service The term “applicable site of service” means a site of service other than a site where the facility rate under the fee schedule under this subsection applies and other than an office setting. (ii) Psychotherapy for crisis services The code descriptions for services described in subparagraph (B) shall be the same as the code descriptions for services identified, as of January 1, 2022 , by HCPCS codes 90839 and 90840 (and any succeeding codes), except that such new codes shall be limited to services furnished in an applicable site of service.

Source

42 USC § 1395w-4(b)(12)


Scoping language

in this subparagraph
Is this correct? or