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Coding Question

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Angie:
If you were itemizing services for a "Therapeutic Wilderness Program" what code would you use for the Individual Face to Face Session?
90806 Outpatient or 90818 Inpatient
They do stay with us 24/7 but the insurance companies do not recognize "Wilderness Programs" and there are no codes for them. :-\  We are not licensed as RTC we are licensed as "Therapeutic Wilderness Program".
I have seen other Wilderness Programs itemized statements and they all do it different and are the same as us. Some use the 90806 and some use the 90818.

Any advice would be greatly appreciated!

rdmoore2003:
90806 is used as a "professional" and 90818 is an inpatient code

Angie:
Thank you.
I understand the coding but I am just wondering which would be the most appropriate to use since we are a Wilderness Program. We are in a sense inpatient; just in the wilderness and not in a physical building so I was just trying to get someone else opinion on which would be the most appropriate to use......Some have said 90806 and some have said 90818....

PMRNC:
Your place of service is probably what will differentiate this. You would need to use POS  Other (99)  Insurance are not going to cover it most likely, best to check with them and see if they have any particular way they want it submitted.

Angie:
I know it probably is not going to be covered but the family would like us to prepare something for them because they want to submit it and if it gets denied they are going to appeal it themselves....
I called the insurance but they told me that since we are not contract that they cannot give us codes or tell us how to bill.....
I know that Michele had said she has billed for Wilderness Programs before so I was wondering what she used; Inpatient or Outpatient codes.....
Wish there were codes for Wilderness Programs.......

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