Medical Billing Forum

Billing => Facility Billing => : lesliemar January 05, 2010, 07:47:13 PM

: FACILITY BILLING QUESTION
: lesliemar January 05, 2010, 07:47:13 PM
In billing for PHP or IOP I use the UB-04 and revenue codes 912 or 905.  Are there CPT codes for these as well?  I am being told that I need to bill using CPT codes.  In locator box 43 on the UB-04 I use a  description of the service.
: Re: FACILITY BILLING QUESTION
: oneround January 05, 2010, 08:53:12 PM
Is this is for group therapy other then multi family?  If so then 90853 would be appropriate
: Re: FACILITY BILLING QUESTION
: Michele January 06, 2010, 09:54:39 AM
We have used the 90806 and the 90853 in conjunction with these rev codes in the past.

Michele
: Re: FACILITY BILLING QUESTION
: billing4action March 16, 2010, 06:17:57 PM
CPT Codes are only for Physician Based billing.  If you are billing on a UB-04, Revenue codes should work.
: Re: FACILITY BILLING QUESTION
: Michele March 17, 2010, 04:01:41 PM
Some insurance carriers require both rev & cpt codes for outpatient.

Michele
: Re: FACILITY BILLING QUESTION
: oneround March 17, 2010, 07:19:02 PM
Agreed Michelle, In our facilities we have to bill with both Rev and CPT codes to some on our carriers on the UB-04