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Substance Abuse Services

  1. #1
    El Paso
    Question Substance Abuse Services
    Medical Coding Books
    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.

  2. #2
    I would think if doumentation and medical necessity are met, that you could bill the 90801,90804, etc

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

  4. #4
    El Paso
    Default Thanks
    Thanks for your replies.

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