Medical Billing Forum
Billing => Facility Billing => : krudolph May 27, 2009, 12:34:22 PM
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Does anyone know the correct codes and/or modifiers to bill Medicare Part B for IOP Treatment performed in a Facility setting? Also, can this be performed by a LISW? I know Medicare Part B services are to be billed on a CMS 1500. If you bill a 90853 the reimbursement is only $27.66 and they are seeing the clients 3x week for 3 hours a day so I know this is not the correct code for this service. Anyone with any knowledge on this your response would be very helpful. Thank you.
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If the provider is set up as a facility you can bill the treatment out as facility fees, but the billing is done on a UB04 and you have to use rev codes. I think the rev codes you are looking for are 0944 - drug rehab or 0945 - alcohol rehab. They do pay higher for those.
Michele
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try S9480 for procedure code. Look it up first..
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Sorry, I just reread your question and realized my answer wasn't correct. You cannot bill Medicare part b for anything other than the professional charges which would be cpt codes. The previous answer only applies to other insurances.
You would have to be credentialed with Medicare as a facility and bill part A.
Michele