Author Topic: FACILITY BILLING QUESTION  (Read 2088 times)

lesliemar

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FACILITY BILLING QUESTION
« on: January 05, 2010, 04:47:13 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.

oneround

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Re: FACILITY BILLING QUESTION
« Reply #1 on: January 05, 2010, 05:53:12 PM »
Is this is for group therapy other then multi family?  If so then 90853 would be appropriate
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare

Michele

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Re: FACILITY BILLING QUESTION
« Reply #2 on: January 06, 2010, 06:54:39 AM »
We have used the 90806 and the 90853 in conjunction with these rev codes in the past.

Michele
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billing4action

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Re: FACILITY BILLING QUESTION
« Reply #3 on: March 16, 2010, 03:17:57 PM »
CPT Codes are only for Physician Based billing.  If you are billing on a UB-04, Revenue codes should work.

Michele

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Re: FACILITY BILLING QUESTION
« Reply #4 on: March 17, 2010, 01:01:41 PM »
Some insurance carriers require both rev & cpt codes for outpatient.

Michele
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oneround

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Re: FACILITY BILLING QUESTION
« Reply #5 on: March 17, 2010, 04:19:02 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
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare