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H0002 Service Type Codes to Send

HCPCS code

Screening for admission to treatment

CMS description

Behavioral health screening to determine eligibility for admission to treatment program

In the order to send them

  1. 1MHMental Health
  2. 2AISubstance Abuse

Why these codes

A behavioral health screen used for both mental health and substance use admissions, so both umbrella benefits.

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

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