1. Mary Jo Bowie MS, BS, AAS, RHIA, RHIT

2. Mental Health and Substance Abuse Treatment
CHAPTER 37
Mental Health and Substance Abuse Treatment

3. Mental Health Section
The Mental Health section has a character 1 value of G.
The second character value for the Mental Health section always has a value of Z for none.

4. Character 3 Value The character 3 values specify the
procedure type. The values are as follows:
1—Psychological tests
2—Crisis intervention
3—Medication management
5—Individual psychotherapy
6—Counseling

5. Additional Character 3 Values
7—Family psychotherapy
B—Electroconvulsive therapy
C—Biofeedback
F—Hypnosis
G—Narcosynthesis
H—Group psychotherapy
J—Light therapy

6. Character 4 Values Character 4 values for the Mental Health
section are a type qualifier indicating
additional information on the procedure type.

7. Remaining Characters for Mental Health
Character 5—Qualifier. Value is always Z.
Character 6—Qualifier. Value is always Z.
Character 7—Qualifier. Value is always Z.

8. Substance Abuse Section
The first character of the Substance Abuse section is H.
The second character value for this section is the body system, and for substance abuse the value is always Z for none.

9. Character 3 Character 3 specifies the type that
indicates the procedure performed.
There are seven values:
2—Detoxification services
3—Individual counseling
4—Group counseling

10. Additional Values for Character 3
5—Individual psychotherapy
6—Family counseling
8—Medication management
9—Pharmacotherapy

11. Definitions
Detoxification services—Detoxification from alcohol and/or drugs
Individual counseling—The application of psychological methods to treat an individual with addictive behavior

12. Definitions (cont.)
Group counseling—The application of psychological methods to treat two or more individuals with addictive behavior
Individual psychotherapy—Treatment of an individual with addictive behavior by behavioral, cognitive, psychoanalytic, psychodynamic, or psychophysiological means

13. Definitions (cont.)
Family counseling—The application of psychological methods that include one or more family members to treat an individual with addictive behavior
Medication management—Monitoring or adjusting the use of replacement medications for the treatment of addition

14. Final Definition
Pharmacotherapy—The use of replacement medications for the treatment of addiction

15. Character 4
Character 4 is a type qualifier that specifies the procedure type.
The values vary according to the third character assignment; therefore, the tables have to be referenced for specific values and definitions.

16. Remaining Characters for Substance Abuse
Character 5—Qualifier. Value is always Z.
Character 6—Qualifier. Value is always Z.
Character 7—Qualifier. Value is always Z.

17. Key Points to Remember
Abuse is described as use of a substance in excess without physical dependency.
Addiction is described as when a person is dependent on substances such as alcohol and/or drugs.

18. Coding Practice Select the code for the following:
Medication Management of Antabuse

19. Coding Practice Solution
Main term to reference in index:
Medication Management
Modifying term:
For substance abuse, Antabuse
Code Assignment:
HZ83ZZZ