Case management services for individuals with substance use disorders

Description

This code represents case management services aimed at supporting individuals struggling with alcohol and/or drug-related issues. These services include assessment, planning, and coordination of care to enhance recovery and improve overall health outcomes.

Top Modifiers

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HCPCS/CPT 93Telehealth service via audio-only telecommunications for OTPs, RHCs, and FQHCs(33.33%)

HCPCS/CPT HOProvider with master's degree level education(16.67%)

HCPCS/CPT U1Medicaid level of care 1 designation(16.67%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
HCPCS Quarterly Update, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)