Wiki SUD OP billing


New Smyrna Beach, FL
Best answers
Please help...

We have started doing family therapy and education groups at our facility but the insurance companies don't want to pay for both H0026 & 90846 in the same day. Does anyone have any suggestions for how else we can bill these?

Also for billing 90853 does anyone know what type of license a provider has to have? I have been billing under a MA LCDC for the past 3 years and had no problems up toil now 2020 they are stating her license doesn't fit the description for a billing provider for this service. Any help???
Who is the target audience for H0026 and for 90846? And who are your payers - is it a payer that has H0026 on their fee schedule? Is it a payer that allows services without the patient?

90853 - You will need to check with each payer. There is no specific license that is applicable to all payers. Is there a more specific code than the 90853 that describes what she is doing?
The patient's (client's) families are the target audience and they get family groups and education 1 weekend a month at our facility. Usual payers are BCBS TX, UBH, Aetna& Cigna, they all are codes (without patient present).

Thank you and I will look into each payer regarding the 90853