HCPCS code
Partial hospitalization (PHP)
CMS description
Partial hospitalization services, less than 24 hours, per diem
In the order to send them
Why these codes
PHP has its own STC; outpatient facility and the umbrella are the fallbacks. G0177 is the education billed within PHP.
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