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Deborah Posted Mon 17th of July, 2017 18:24:40 PM
What would the CPT code be for a per deim rate visit to a free standing/non-hospital based Intensive Out Patient program,as a covered service, for reimbursement under medicare.
SuperCoder Answered Tue 18th of July, 2017 02:21:47 AM

HELLO

If you are billing for Medicare for Substance Abuse, per diem, you can try alternative HCPCS code G0396 or G0397 in order to get reimbursed through Medicare, if and only if your services fall under the guidelines provided in the following linked article:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/SBIRT_Factsheet_ICN904084.pdf

Also for more information, refer to the link : https://www.samhsa.gov/sbirt/coding-reimbursement

 HOPE THIS HELPS!

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