behavioral health billing

  1. M

    Wiki Does Interpreter/Language barrier meet criteria for 90785?

    Hello, I work at a BH practice and this code has been a little confusing for me. I read the CPT book but it doesn't really imply that an interpreter or language barrier meets the criteria only communication barrier. I was able to pull a CMS billing and coding article that states that it does...
    • mc1030
    • Thread
    • behavioral health billing coding advice needed help with coding/billing
    • Replies: 4
    • Forum: Behavioral Health
  2. V

    Wiki 8 Minute Rule Clarification - Rolling Minutes

    I work in a Massachusetts Certified Behavioral Health Clinic, where we bill the H2011 code for psychiatric crisis follow-up services. This code is billed in 15-minute timed units. Currently, each encounter must reach the 8-minute minimum, and then the total minutes from each encounter are added...
  3. E

    Wiki 90887 and 90847 Bundled???

    Hi, I'm new to BH billing and I'm getting denials for 90887 and 90847 under Cigna specifically -- their coding tool says that it should be bundled as per CMS guidelines, but when we bill the same codes under Medicaid, we get paid. Does anyone have any insight on this? I would really like to get...
  4. S

    Wiki Merging Behavioral Health with Medical Practice

    Hello All, I have a multi-part question. I am assisting a practice with credentialing. This practice group has a tax ID and a group NPI. Originally this group was only behavioral health ( therapists, social workers etc), there was no rx services and no medical procedures, just talk therapy...
    • sarahsule
    • Thread
    • behavioral health billing group npi group practice practice management tax id tax id numbers
    • Replies: 2
    • Forum: General Discussion
  5. A

    Wiki BH Group Therapy

    Hi! I need some help. We are thinking of starting some group therapy sessions for a few kiddos. We've never done this before and I'm thinking of how to bill correctly. I've seen the codes 99411 and 99412 floating around. I'm wondering if anyone has any experience with these codes and knows any...
    • alyssa2e
    • Thread
    • behavioral health billing pediatric therapy
    • Replies: 1
    • Forum: Pediatrics
  6. N

    Wiki Outpatient psychotherapy documentation - start/stop times?

    Hello. When billing with E&M, do our psychtherapy notes need to contain specific start and stop times for the psychotherapy portion of the visit, or is an overall time statement permitted, example "18 minutes was spent". Any insight is greatly appreciated. Thank you so much!
    • Nexus
    • Thread
    • behavioral health behavioral health billing psychotherapy
    • Replies: 1
    • Forum: Behavioral Health
  7. E

    Wiki Billing 96127 and Medicare

    Are any behavioral health offices billing 96127 with Medicare? If so, what are the requirements? Documentation and screening? Thanks!
    • ElleK
    • Thread
    • 96127 behavioral health behavioral health billing medical biller medicare medicare and 96127
    • Replies: 0
    • Forum: Behavioral Health
  8. J

    Wiki S9480

    Hello, Could anyone tell me if code S9480 can be billed on the same day with evaluation and management services, case management, group therapy, and lab charges? Are all these ancillary services considered included in this per diem rate?
  9. A

    Wiki Testing codes psychiatry/psychology

    Can psychiatry bill testing codes, 96116, 96138/96139? or only by psychology?
  10. L

    Wiki coverage for 96127 for Aetna

    Does anyone know if Mental health providers (psychologist/trist) can bill 96127? We used to bill it with a 90846 or 90847 years ago, but we now know they are bundled. Has anyone billed this code on its own on a separate claim? or the day prior or the following day of the therapy visit? Any...
  11. J

    Wiki Criteria for Inpatient/Outpatient facilities

    I am having difficulty finding the criteria for a patient seeking substance abuse treatment in an inpatient or outpatient setting. Do they have to have a certain amount of daily therapy to be considered inpatient/outpatient? Is it up to the provider's discretion, or is there a certain amount of...
  12. S

    Wiki Ambulatory detox

    Does anyone have experience billing for Ambulatory detox? This is for an outpatient that regularly bills for PHP & IOP but just recently began trying to seek reimbursements for Ambulatory detox services. I have yet to see any of these claims pay but I am have a particularly difficult time with...
  13. A

    Wiki Is H0015 a per diem code and what services does it include?

    The description of H0015 is Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or...
  14. L

    Wiki billing codes for Cognitive behavioral and dialectical behavioral therapy

    Hello, hoping a behavioral health coder and shed some light on these codes. Are they billed with the regular CPT therapy codes? 90832,34,37 and group therapy or there other specific codes for these types of therapy? Thank you !!!
    • lennysara
    • Thread
    • behavioral health billing mental health behavioral
    • Replies: 0
    • Forum: E/M
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