Author Topic: 90853 IOP Substance Abuse  (Read 1821 times)

camedbill

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90853 IOP Substance Abuse
« on: April 18, 2016, 08:58:16 PM »
Hello:  I'm billing on UB04 for IOP Substance Abuse.  Can someone tell me how to bill group therapy 90853? Do I use revenue code 0915 and H0005?
Thank you in advance for your help!

Michele

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Re: 90853 IOP Substance Abuse
« Reply #1 on: April 19, 2016, 08:14:49 AM »
Rev code 0915 is for group therapy and H0005 is for D&A group counseling so it looks like you got it!  We have used those codes for IOP substance abuse group counseling.  Of course it will depend on the plan as to whether or not they are a covered service.
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tinaraynor

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Re: 90853 IOP Substance Abuse
« Reply #2 on: April 19, 2016, 09:15:06 AM »
In our outpatient clinic in Maryland, we bill 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 - with rev code 0906. For group therapy lasting 60-90 minutes we bill H0005 with rev code 0915.

camedbill

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Re: 90853 IOP Substance Abuse
« Reply #3 on: April 19, 2016, 09:45:24 AM »
Awesome! Thank you ladies ;)

bhtfacility

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Re: 90853 IOP Substance Abuse
« Reply #4 on: July 14, 2016, 11:25:03 AM »
What is the difference for PHP - S0201 and H0035? Can we bill 0912 with H0035. My facility see their PHP patients 5 hours a day?

Michele

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Re: 90853 IOP Substance Abuse
« Reply #5 on: July 15, 2016, 09:39:45 AM »
H0035 is partial hospitalization < 24 hrs,  S0102 is partial hospitalization < 24 hrs, per diem.  The only difference is that S0102 is per diem.    The 0912 is for Partial hospitalization so the H0035 would be consistent with that.
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Ypmb16

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Re: 90853 IOP Substance Abuse
« Reply #6 on: July 31, 2016, 09:48:11 AM »
Depends on if your billing a facility or a professional. If your billing a facility or a LISAC or a "other professional" then you will need to use H0015. 90853 is reserved for professionals with certain types of degrees so you will need to check your providers credentials. And "9" codes will almost always go on a HCFA. Now, H0015 will go on UB04 if your billing a facility and a HCFA if your billing for a LISAC or other professional.