Transitional code for intensive outpatient psych

jek521

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Midwest Security is denying our claims for intensive outpatient substance abuse therapy, stating that we need to bill with a "transitional code." Any ideas on what this is?
The patients are outpatient receiving approx. 3 hours of group/individual counseling. The claim is filed on a UB-04 with revenue code 0915 with type of bill 131 (outpatient hospital).

Anyone know facility coding? Help?

Thanks!
Jen
:confused:
 

kevbshields

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I'm not much apprised of the billing leg of hospitals (too far removed from that), but are they talking about a partial hospitalization Place of Service code? That'd be captured in the Rev codes I'd imagine, but that's the only thing I can think of they'd be talking about.

Hopefully someone will have more billing knowledge and comment here for you.

Good luck.
 
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