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I'm trying to determine the CPT billing code for Intensive (half day) Outpatient behavioral care. Your assistance will be appreciated.
Gender: MaleAge: 59 Already Tried: Insurance carrier says they will pay for this treatment. They already paid partial but only as 1 hour rather than half day sessions. They said they will correct if it is resubmitted with the correct CPT billing code. What is that code? Please help
Hello,
Welcome to Just Answer and thanks for your question. Current CPT codes do not recognize duration of the two to four hour rehab days. You should ask them what code they want you to use. Perhaps 90899 (unlisted psychiatric service or procedure).
http://www.oasas.state.ny.us/admin/hcf/BillingCodes.cfm
Nurse Practitioner
Board Certified Nurse Practitioner, MS, RN. Private practice and hospitalist experience.