harpermmb
Contributor
I am not getting reimbursed for these tests done at the counselors office. I and using 96127. Is there another CPT code for counselors? That is what I use for family practice and it gets paid.
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Wiki PHQ and GAD
- Thread starter harpermmb
- Start date
SharonCollachi
Guest
What type of "counselor" are you talking about?
That code is designed to be used in a general medical office, not a behavioral health office, although technically, anyone can bill it. It could be that the mental health benefit considers it excluded from that benefit or inclusive to the work of psychotherapy.
That code is designed to be used in a general medical office, not a behavioral health office, although technically, anyone can bill it. It could be that the mental health benefit considers it excluded from that benefit or inclusive to the work of psychotherapy.
harpermmb
Contributor
LPC
harpermmb
Contributor
Nolan68
Guest
The code to bill for screenings (GAD, PHQ etc) is 96160
Were you ever able to figure out why your office wasn't getting reimbursed for the 96127 CPT? Does the denial state information is missing?
harpermmb
Contributor
I called the insurance company and they said it is not covered in behavioral health setting.