AAPC - Back to school
Results 1 to 3 of 3

Thread: Lcsw

  1. #1

    Default Lcsw

    AAPC: Back to School
    I am trying to figure out how to bill for an LCSW out of a privately owned pediatric office. We would see mostly medicaid (NC). I know that with Medicaid you can use H codes but what is the difference in billing an "individual therapy" codes vs billing H0004??? And how do you find out what codes can be billed together. For example, if she sees the child for 30 minutes, then sees the family w/o child for 15 minutes. Can both of these codes be billed together and is a modifier needed??

    Any help would be greatly appreciated. Thanks!!

    Hollie Garrett, CPC CPEDC

  2. #2


    Please.... can anyone point me in the right direction or give me some sort of reference that I can look into. Thanks!

  3. #3
    Join Date
    Apr 2007


    I suggest looking at your state's Medicaid website. It should be able to help. In our area our therapist are able to provide and bill for CPT codes, 90801, 90802, Individual therapy 90804, 90806, 90806, 90810, 90812, 90814. They are also able to bill for 90847 family therapy and 90853 group therapy. As well as a few others. CCI edits will prevent certain codes from being billed together. As far as H codes, our area is limited regarding which codes we can use. Our state's Medicaid has very specific instructions on which codes and when they are appropriate. In our area, it is suggested by our Medicaid payer to bill for the service that takes the most amount of time at that session. Hope this helps.

Similar Threads

  1. Billing LCSW
    By snjberry in forum Behavioral Health
    Replies: 2
    Last Post: 05-24-2016, 02:37 PM
  2. LCSW coding
    By chelsie.chasse@nmmc.org in forum Behavioral Health
    Replies: 2
    Last Post: 08-21-2015, 03:54 PM
  3. LCSW help
    By tmcquegge in forum Behavioral Health
    Replies: 2
    Last Post: 01-29-2015, 11:12 AM
  4. billing for LCSW
    By tmcquegge in forum Behavioral Health
    Replies: 2
    Last Post: 08-19-2013, 11:40 AM
  5. LCSW billing
    By Fgarcia in forum Behavioral Health
    Replies: 2
    Last Post: 08-17-2010, 08:06 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?


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.