HCPCS code
Peer support
CMS description
Self-help/peer services, per 15 minutes
In the order to send them
Why these codes
Peer services serve both mental health and substance use members.
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