Billing > Facility Billing

90853 IOP Substance Abuse

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camedbill:
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:
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.

tinaraynor:
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:
Awesome! Thank you ladies ;)

bhtfacility:
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?

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