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Old 01-09-2009, 09:37 PM
lsilva lsilva is offline
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Question Substance Abuse Services

Does anyone know what CPT codes to use for Commercial Insurance substance abuse counseling for individual and out patient services. Services are provided by a Licensed Counselor. Currently I bill H0004 and H0005 for Texas Medicaid only, wondering if Comerical Insurance recognize these codes. Could 90801, 90806, 90853 be used. I currently use these codes to bill the behavioral health portion of our services.

I would really appreciate any help on this, as it look we might begin seeing more individuals with Commercial Insurance.

Thank you.
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Old 01-12-2009, 12:22 PM
1073358 1073358 is offline
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I would think if doumentation and medical necessity are met, that you could bill the 90801,90804, etc
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Old 01-14-2009, 12:12 PM
lms2004 lms2004 is offline
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I agree- we use the 90801, 90806, 90853 for our commercial payors for our substance abuse clinic.
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Old 01-26-2009, 01:29 PM
lsilva lsilva is offline
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Thanks for your replies.
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