`S9484` Crisis intervention per hour

Crisis intervention mental health services, per hour

Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)

Medicare pricing for S9484

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for S9484

1 of 1 payer prior-auth lists that name S9484 require prior authorization or set conditions: Humana.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Humana	Humana Healthy Horizons	LA	prior auth under conditions	Excludes an initial visit (only concurrent)	Jan 1, 2027	Humana Healthy Horizons in Louisiana Prior Authorization and Notification List To Except where noted via links on the following pages, prior authorization requests for medical services may be initiate

Payer coverage policies that name S9484

S9484 appears in 1 coverage policy from Aetna.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Home Behavioral Healthcare Services (0730)	listed, no stance	Nov 26, 2025	payer document

Recent prior-auth changes

Jul 1, 2026: conditions changed, Humana
Jan 1, 2026: PA added, Humana

Medicaid fee-for-service

Prior authorization required or conditional in OH, VA.

AZ: $79.79 (behavioral, AHCCCS PT 18), effective Oct 1, 2026
IN: $275.78 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
KS: $82.50 (default, Mid Level Practitioner), effective Jan 1, 2004
KY: $93.61 (behavioral_health, billed with AF/AM), effective Jul 15, 2026
LA: $67.30 (specialized_behavioral_health, Rate), effective Jan 1, 2026
ND: $0.00 (physician), effective Aug 1, 2026
OK: $0.00 (physician, non-facility), effective Jul 1, 2026
VA: $114.38 (medical, High Intensity), effective Jul 1, 2021
WA: $78.06 (specialized_mental_health), effective Jul 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

S9484 Crisis intervention per hour