HCPCS code
Substance use counseling
CMS description
Behavioral health counseling and therapy, per 15 minutes
In the order to send them
Why these codes
Individual, group and family counseling in a substance use program: outpatient facility benefit first, then the substance abuse umbrella and its drug and alcohol splits.
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