Medical Billing Forum
Billing => Billing => : billinggirl January 18, 2012, 12:51:03 PM
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ub 04 form. Outpatient mental health services and substance abuse. cpt 90806
should i use a 131?
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Not sure the question. ub forms are for facility. Are you a facility?
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they are outpatient facility, providing chemical dependency counseling by a clinician
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If it is outpatient you will need to bill on a CMS 1500 (HCFA) not a UB04 and if it is in an outpatient office setting the place of service is 11.
Hope that helps.
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Better way to understand is: If you are billing the professional component of the services as your 90806 suggest, it would go on a CMS 1500. Facility charges go on a UB form.
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they are a facility but only provide services for out patient. They have been billing on the UB 04 before we took them over. I thought we had to bill on the 1500 form also but they have been told by their insurance carriers that they have to use a ub 04 because they are a facility. Which to me was strange because they are using the 90806 codes.
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Again, it depends, are you billing the professional component or for the FACILITY charges? That's how it works. Professional charges such as billing for the therapy is done on the CMS 1500 facility charges with revenue codes are billed using the UB form.