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Billing Room and Board for Residential Treatment

jwishart

New
Messages
6
Best answers
0
HCPCS H0019 excludes Room and Board so how do you bill for the Room and Board for LOC 3.3 or 3.5 Long Term Residential Substance Abuse Treatment?

Or is there a different HCPCS code to use that includes Room and Board?

Another pressing question that I need an answer to as soon as possible.

I have spent a large amount of time researching this and can't find this anywhere.

Thxs.
 

lsilva

Networker
Messages
25
Location
El Paso
Best answers
0
Residential treatment

I am in Texas and our agency is a Licensed Chemical Dependency Treatment Center (CDTF)

The codes used for residential treatment are

H2035 - Alcohol and/or drug treatment program and
H0047 - Room and Board

You cannot bill the H0047 without the H2035

Hope this helps
 
Messages
3
Best answers
0
Billing facility charges (using UB04) for residential you will use both HCPC and rev codes. The rev codes are used for room and board. For Substance abuse residential rev code 1002 and hcpc H0018 work with most payers. For mental health as primary rev code 1001 and H0017. I've never had issues with these codes. Hope that helps
 
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