Wiki Substance Abuse Services

[lsilva]

Does anyone know what CPT codes to use for Commercial Insurance substance abuse counseling for individual and out patient services. Services are provided by a Licensed Counselor. Currently I bill H0004 and H0005 for Texas Medicaid only, wondering if Comerical Insurance recognize these codes. Could 90801, 90806, 90853 be used. I currently use these codes to bill the behavioral health portion of our services.

I would really appreciate any help on this, as it look we might begin seeing more individuals with Commercial Insurance.

Thank you.

 

[1073358]

I would think if doumentation and medical necessity are met, that you could bill the 90801,90804, etc

 

[lms2004]

I agree- we use the 90801, 90806, 90853 for our commercial payors for our substance abuse clinic.

 

[lsilva]

Thanks

Thanks for your replies.