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H2019 Service Type Codes to Send

HCPCS code

Therapeutic behavioral services

CMS description

Therapeutic behavioral services, per 15 minutes

Why these codes

Behavioral support services, often for children, billed by 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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