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H0040 Service Type Codes to Send

HCPCS code

Community mental health services

CMS description

Assertive community treatment program, per diem

Why these codes

Community support, assertive community treatment, psychosocial rehab, clubhouse and first-episode psychosis care, delivered by outpatient programs.

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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