Billing > Billing

substance abuse/ mental health

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margemib:
Hi Michele,

Is billing for substance abuse / mental health the same cpt codes and diagnosis codes as  medical billing.
and if you are billing for a couple for counseling do you bill separately.
margemib  ::)

Michele:
Mental health billing has a range of cpt codes from 90801-90853 and the diagnoses range from 296.** - 303.**.  But it is very similar to regular billing.  Substance abuse is mental health but in NY state it must be in an OASAS facility.  If it is a facility then the billing is different (usually done on a UB04 form).

If you are billing for a couple and the diagnosis is marital problems, you bill under one of the patients, and use the code for family therapy with patient present and a diagnosis of marital problems.  Most insurances do not cover it.  However, if you are billing for a couple but the diagnosis is something other than marital problems then you would bill under the one that the diagnosis applies to and again bill as family therapy.

Michele

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