Author Topic: Group Therapy  (Read 6204 times)

CMorgan

  • Newbie
  • *
  • Posts: 7
Group Therapy
« on: December 18, 2015, 10:37:51 PM »
What is the difference between 90853 and H0005? How do I know which code to use when billing for Group Therapy sessions?

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Group Therapy
« Reply #1 on: December 20, 2015, 12:41:55 PM »
90853 is the cpt code for group therapy, regardless of the diagnosis.

H0005 is the HCPCS code for Alcohol and/or drug services; group counseling by a clinician
« Last Edit: December 20, 2015, 07:37:29 PM by Michele »
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Christy

  • Sr. Member
  • ****
  • Posts: 320
Re: Group Therapy
« Reply #2 on: January 27, 2016, 04:40:21 PM »
this is similar to my therapy vs substance abuse thread question.


using this question as an example, assuming that the group is discussing their addictions with a private mental health provider, in an office setting which code is more appropriate?

PMRNC

  • Hero Member
  • *****
  • Posts: 4562
    • One Stop Resources & Networking for Medical Billers
Re: Group Therapy
« Reply #3 on: January 27, 2016, 05:06:09 PM »
MANY therapists/counselors specialize in Dual diagnosis.. so let's say you have a patient with opiate abuse and they maintain dx of bipolar or anxiety.. The service is coded by the actual "MEAT" of the therapy and the focus of the therapy. So if a patient has a history of abuse/addiction of opiates, they may receive counseling for substance abuse with secondary dx (dual dx).

IT depends ON THe services the provider is rendering.. if they are rendering psychotherapy with the primary dx of a mental health issue it should be coded appropriately as psychotherapy. If your provider is rendering a group session for alcohol/drug .. it's coded appropriately with the appropriate dx code for alcohol and substance abuse.

I have clients who do BOTH.. they should be clearly documented in the chart. You also don't want to bill BOTH for same date of service as most carriers will NOT pay for two sessions in one day.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Wendy2015

  • Newbie
  • *
  • Posts: 9
Re: Group Therapy
« Reply #4 on: February 16, 2016, 02:00:14 PM »
Am also looking for a similar code for IOP. Is the H0005 code based on time? I am looking for a code to bill IOP 3 hours a day 3 times a week.

Medical Billing Forum

Re: Group Therapy
« Reply #4 on: February 16, 2016, 02:00:14 PM »

tinaraynor

  • Newbie
  • *
  • Posts: 11
Re: Group Therapy
« Reply #5 on: February 16, 2016, 03:18:13 PM »
That would be H0015 : Alcohol And/Or Drug Services; Intensive Outpatient (Treatment Program That Operates At Least 3 Hours/Day And At Least 3 Days/Week And Is Based On An Individualized Treatment Plan), Including Assessment, Counseling; Crisis Intervention, And Activity Therapies Or Education

Wendy2015

  • Newbie
  • *
  • Posts: 9
Re: Group Therapy
« Reply #6 on: February 16, 2016, 03:37:06 PM »
Is it billed once a week, or each day the patient comes for IOP?

tinaraynor

  • Newbie
  • *
  • Posts: 11
Re: Group Therapy
« Reply #7 on: February 16, 2016, 06:24:32 PM »
Bill each day the patient comes for IOP.

Wendy2015

  • Newbie
  • *
  • Posts: 9
Re: Group Therapy
« Reply #8 on: February 17, 2016, 10:25:52 AM »
Thank you.

Plupiek

  • Newbie
  • *
  • Posts: 20
    • losartan cialis
Re: Group Therapy
« Reply #9 on: October 13, 2022, 09:30:20 PM »
Organotypic liver culture models Meeting current challenges in toxicity testing <a href=http://bestcialis20mg.com/>cheap cialis from india</a> 0120110886 April 17, 2014

Medical Billing Forum

Re: Group Therapy
« Reply #9 on: October 13, 2022, 09:30:20 PM »

updastE

  • Full Member
  • ***
  • Posts: 139
    • stromectol 3 mg tablet
Re: Group Therapy
« Reply #10 on: October 28, 2022, 05:32:25 AM »
<a href=http://stromectol.autos/>stromectol where to buy</a> Glipizide is the generic version of the brand name medication called Glucotrol and may be prescribed in a regular or extended release form

mainiaDup

  • Sr. Member
  • ****
  • Posts: 260
    • dapoxetine tablets buy online india
Re: Group Therapy
« Reply #11 on: November 10, 2022, 05:36:11 PM »
<a href=https://priligy.me/>priligy walmart</a> Dressed in skimpy lingerie, Megan Fox, the face of Emporio Armani Underwear, poses in a set of black and white photos for one of the label s Spring Summer ad campaign

unorgobug

  • Sr. Member
  • ****
  • Posts: 330
    • doxycycline ruined my life
Re: Group Therapy
« Reply #12 on: November 20, 2022, 06:59:11 PM »
under an atmosphere of nitrogen and cooled to a temperature of 20 to 25 C, was added 4 l H l, 2, 4 triazol l ylmethyl benzonitrile hydrochloride VII <a href=http://doxycycline.world/>doxycycline brand name</a> It is essentially a online game where you can do anything you want

jossibe

  • Full Member
  • ***
  • Posts: 247
    • stromectol ivermectin tablets
Re: Group Therapy
« Reply #13 on: November 21, 2022, 12:05:32 AM »
<a href=https://stromectol.ink/>ivermectin pills for sale</a> Chinese Journal of Cardiology 1987; 15 97 9

royagma

  • Sr. Member
  • ****
  • Posts: 326
    • generic of furosemide bad for your kidneys
Re: Group Therapy
« Reply #14 on: November 21, 2022, 06:04:42 AM »
2016 Oct; 43 5 615 622 <a href=https://lasix.autos/>buy lasix water pills online</a> Arch Physiol Biochem

Medical Billing Forum

Re: Group Therapy
« Reply #14 on: November 21, 2022, 06:04:42 AM »