HCPCS code
Psychiatric intensive outpatient (IOP)
CMS description
Intensive outpatient psychiatric services, per diem
In the order to send them
Why these codes
Mental health IOP is billed by the program as an outpatient facility service.
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