Results 1 to 4 of 4

Substance Abuse Codes - Medicaid VS others

  1. Question Substance Abuse Codes - Medicaid VS others
    Medical Coding Books
    I have been billing for new SUD Medicaid patients to NH Healthy Families and Well Sense. Occasionally, I get bills for BCBS and Harvard Pilgrim. Do these insurers use different codes than Medicaid?
    For example: Medicaid uses H0001 and BCBS uses 90834 and both describe "Alcohol and/or Drug Intake Assessment". I am a little confused on why the different codes for the same thing?
    Will BCBS not accept H0001?

  2. #2
    Location
    Roanoke, Virginia
    Posts
    125
    Default
    CMS plans have some specific codes just for their use. It appears H0001 is for Medicaid agencies only, so looks like BCBS is a no-go. In the AMA 2014 HCPCS Professional Edition book all codes H0001 thru H2037 are covered by Medicaid and not Medicare.

    I'm in the behavioral healthcare field now, previously in family care and it kind of worked the same way with code specific services. You did provide ME with some useful info on the 90834, however, as I am new to this field, so thank you

    Lena

  3. #3
    Default
    I have been approached by a Recovery Center (substance abuse) to assist with their billing. They are in the process of getting certifications, so they are not quite ready to start with patient treatments. Where is the best place for me to research how to bill for this type of center? This is totally new to me. Any assistance would be appreciated !

  4. Default
    Hi denali, I currently run a billing dept. for a substance abuse facility. Are they planning to do inpatient or outpatient, and what kinds of providers are they planning to use?

Similar Threads

  1. Substance abuse codes
    By PHAYS in forum E/M
    Replies: 0
    Last Post: 05-20-2014, 08:26 PM
  2. Texas Medicaid - Substance Abuse
    By tpattinson in forum Behavioral Health
    Replies: 1
    Last Post: 01-14-2014, 03:40 PM
  3. Replies: 1
    Last Post: 07-03-2013, 09:59 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.