HCPCS code
Wraparound and case management
CMS description
Targeted case management, each 15 minutes
In the order to send them
Why these codes
Case management has its own STC; mental health is the fallback most payers answer.
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