HCPCS code
Partial hospitalization (PHP)
CMS description
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)
In the order to send them
Why these codes
PHP has its own STC; outpatient facility and the umbrella are the fallbacks. G0177 is the education billed within PHP.
If a payer returns nothing
Payers don't all answer every service type. Send 30 (Health Benefit Plan Coverage) for the plan's general benefits.
Sources
CMS HCPCS Level II descriptor; X12 HIPAA 5010 service type code definitions; VerifyTX billing practice