I am trying to determine which is the proper coding for commercial insurances, group therapy provided by a mental health counselor. 90853 Group Psychotherapy, no time base or H2019-HQ (Therapuetic behavorial services-group setting) per 15 minutes, Medicaid hcpcs code.
I have tried to follow up with the insurance on coverage and they do not recognize the hcpcs code H2019 but still reimburse it after automatically denying, they will reprocess and pay. No one at the insurance can tell me why they reprocessed and paid but can only tell me they have benefits for 90853 but cannot give benefits for H2019.
Also, does anyone have any good examples of using 90853 with interactive complexity code 90785, after reviewing the guidelines on using this code, what is an example of when this would be appropriate for group setting.
Thank you for any additional information!
I have tried to follow up with the insurance on coverage and they do not recognize the hcpcs code H2019 but still reimburse it after automatically denying, they will reprocess and pay. No one at the insurance can tell me why they reprocessed and paid but can only tell me they have benefits for 90853 but cannot give benefits for H2019.
Also, does anyone have any good examples of using 90853 with interactive complexity code 90785, after reviewing the guidelines on using this code, what is an example of when this would be appropriate for group setting.
Thank you for any additional information!