Wiki Peer Support Billing Needed

[Dseda]

Hello,
I am looking for any assistance on Peer Support Billing. We are new to having a Peer Support which we are very excited about, however I am a little confused on the billing part?
Everything I am finding, looks like I have to bill in 15 minutes units under cpt H0038. But I can't find anything about limits to how many clients/patients they can see in 1 day.
Any other advice or direction you could share?
It is greatly appreciated.
Thank you.

 

[lissaotto]

There are no limits to how many patients per day. There is a max of 12 units per patient. But, that's it.

 

[rhotonscott]

If you have a Medicaid billing manual for Kentucky there are other codes available for Peer Specialists besides H0038

 

[chouacha]

Can H0038 be billed for a date range on one line example: 4/1/2023 - 4/20/2023 billing 20 units. Or should this service be billed one day on each line 4/1/2023 - 4/1/2023 with 1 unit. The health plan that I am working for is trying to figure this out because out claims are hitting a frequency edit when multiple days are billed on one line.

 

[lizziemcd]

Im in Ohio and there is a max of 16 units per day for H0038. For Ohio we have to have each day on a different line.