Partners Behavioral Health Management Third Party Liability/Medicare Bypass Codes
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1 Partners Behavioral Health Management Third Party Liability/Medicare Bypass Codes 0181 Reserved Revenue Code Therapeutic Leave 100 ICF/MR Hospital Admission & General Hospital JAIL ASSESSMENT REC MH ASSESSMENT REC INDIVIDUAL T REC GROUP T REC FAMILY T W/O CLIENT REC ASSESSMENT REC FAMILY T W/ CLIENT REC ASSERTIVE ENGAGEMENT SAIP GROUP T GROUP T-JAIL SETTING REC PEER SUPPORT INDIVIDUAL REC PEER SUPPORT GROUP REC TARGETED CASE MGMT MH/SA DVIP SAIP TARGETED CASE MGMT MH/SA SAFETY & SUPERVISION DAILY SAFETY & SUPERVISION HOURLY
2 655 - Bridge Case Management DD DIVERSION EMERGENCY RESPITE THERAPEUTIC INJECTION THERAPEUTIC INJECTION THERAPEUTIC INJECTION CC - THERAPEUTIC INJECTION FP - THERAPEUTIC INJECTION Q6 - THERAPEUTIC INJECTION therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial H ALCOHOL AND/OR DRUG ASSESSMENT H BEHAVIORAL HEALTH COUNSELING H0004HQ - BEHAVIORAL HEALTH GROUP THERAPY H0004HR - BEHAVIORAL HEALTH FAMILY THER W/ CLIENT H0004HS - BEHAVIORAL HEALTH FAMILY THER W/O CLIENT H ALCOHOL AND/OR DRUG GROUP COUNSELING H NON-HOSPITAL MEDICAL DETOIFICATION H0012HB - SA Non-Medically Monitored Community Residential Tx H SA Medically Monitored Community Residential Tx H0014 Ambulatory Detox H SUBSTANCE ABUSE INTENSIVE OUTPATIENT H0015 AD - Adolescent SAIOP
3 H RESIDENTIAL LEVELS 3 AND 4 H0019 HK - Residential IV, 4 beds or less H0019 HQ - Residential Level III, 4 beds or less H0019 TJ - Residential III, 5 beds or more H0019 UR - Residential IV 5 beds or more H0019U5 - Level 4, Secure, More Than 5 beds H0019UQ - Level 3 4 beds or less H0019US Level 3, 5+beds H0020 -Methadone Administration H MENTAL HEALTH ASSESSMENT H TARGETED CASE MANAGEMENT MH/SA H0032 EP - TARGETED CASE MANAGEMENT MH/SA H0032 U5 - Critical Time Intervention (CTI) H0032FV Case Management Incentive H0032U5DJ Critical Time Intervention (CTI) H MENTAL HEALTH PARTIAL HOSPITALIZATION H0038HQU4 (B3) - Peer Supports - Group H0038HQU4DJ - (B3) Peer Support Group H0038U4 (B3) - Peer Supports - Individual H0038U4DJ (B3) Peer Suppors Individual H ASSERTIVE COMMUNITY TREATMENT TEAM
4 H0040DJ - ACTT Assertive Comm Treatment Team H0045HQU4HA (B3) Child Group Respite H0045HQU4HB (B3) Adult Group Respite H0045U4HA (B3) Child Individual Respite H0045U4HB (B3) Adult Individual Respite H Level I Family Type H MOBILE CRISIS MANAGEMENT H2011HI - MOBILE CRISIS MANAGEMENT Innovations Rate H2011HK - Mobile Crisis Management Enhanced Rate H2011U4HI (B3) IDD - Crisis Services - Primary Response H2012HA - CHILD/ADOLESCENT DAY TREATMENT H DEVELOPMENTAL THERAPIES - PROFESS IND H2014HM - DEVELOPMENTAL THERAPIES - PARAPROF IND H2014HQ Home Support-Group H2015 Community Networking H2015HQ Community Networking Group H2015HQU4 (B3) - Community Networking - Group H2015HT - COMMUNITY SUPPORT TEAM H2015HTDJ - Community Support Team H2015U1 - CN Class &Conference H2015U1U4 (B3) - Community Networking - Class and Conference
5 H2015U2U4 (B3) - Community Networking - Transportation H2015U4 (B3) - Community Networking - Individual H2016 Residential Supports Level I H2016HI Residential Supports Level IV H2016HIU2 AFL Residential Supports Level IV AFL H2016HIU4 (B3) - Level 4-Residential Supports H2016HIU4U2 (B3) - Level 4 AFL-Residential Supports H2016U2 AFL Residential Supports Level 1-AFL H2016U4 (B3) -Level 1-Residential Supports H2016U4U2 (B3) - Level 1 AFL Residential Supports H PSYCHOSOCIAL REHABILITATION H2017 DJ - Psyshosocial Rehabiliation H Level II Program Type H INTENSIVE IN-HOME SERVICES H2022 HE - FCT CORE H2022 Z1 - FCT ENGAGEMENT AND TRANSITION H2023HQU4 (B3) - Initial Group Supported Employment H2023U4 (B3) - Initial Individual Supported Employment H2023U4 HH (B3)Supported Employment Initial MHSA H2023U4HE (B3) Supported Emloyemnt MHSA Initial H2023U4HHDJ (B3) Supported Employment Initial MHSA
6 H2025 Support Employment Services: Individual H2025HO - Specialized Consult H2025HQ Support Employment Serfices: Group H2025HQU4 (B3) - Supported Employment - Group H2025U4 (B3) - Supported Employment - Individual H2026HQU4 (B3) - Maintenance Group Supported Employment H2026U4 (B3) - Maintenance Individual Supported Employment H2026U4HE (B3)Supported Emloyemnt MHSA Maintance H2026U4HH (B3) Supported Employment Maintenance MHSA H2026U4HHDJ (B3) Supported Employment Maintenance MHSA (DJ) H MULTI-SYSTEMIC THERAPY (MST) H2033 M1 - MULTI-SYSTEMIC THERAPY (MST) 1 MONTH H2033 M2 - MULTI-SYSTEMIC THERAPY (MST) 2 MONTHS H2033 M3 - MULTI-SYSTEMIC THERAPY (MST) 3 MONTHS H2033 M4 - MULTI-SYSTEMIC THERAPY (MST) 4 MONTHS H2033 M5 - MULTI-SYSTEMIC THERAPY (MST) 5 MONTHS H SA HALFWAY HOUSE H SA COMPREHENSIVE OUTPAT TT PROGRAM Q ORIGINATING SITE FEE Q3014GT - TELEMEDICINE ORIGINATING SITE FEE S5110 Natural Suports Education: Individual
7 S5110U4 (B3) - Natural Supports Education - Individual S5111 Natural Supports Education Conference S5111U4 (B) - Natural Supports Education - Conference S5125 Personal Care Services S5125U4 (B3) - Personal Care Services S Level II Family Type - TFC S5145 TF - Level II Family Type TFC Trauma Focused S5145HA - IAFT Intensive Alternative Family Treatment S5145HATL - IAFT Intensive Alternative Family Treatment Theraputic Leave S5145TL -Level II Family Type - TFC TL S5150 B3 - Respite B3 Service S5150 Respite: Individual S5150HQ Respite: Group S5150HQU4 Respite Group IDD S5150U4 Respite Individual IDD S5150US Respite Facility S5150USU4 Respite Facility IDD S5165 Home Modifications S5165U4 (B3) - Home Modifications S CRISIS INTERVENTION (FACILITY BASED) T1005TD Respite Nursing
8 T1005TDU4 Respite Nursing RN IDD T1005TE Nursing Respite T1005TEU4 Respite Nursing LPN IDD T1015 In-Home Intensive Supports-Individaul T1015U4 (B3) - In-Home Intensive Supports T Targeted Case Management T1017HE - TARGETED CASE MANAGEMENT IDD T1017HEEP -Targeted Case Management - EPSDT T1019U4 (B3) - Individual Support T1019U4DJ (B3) Individual Supports T DIAGNOSTIC ASSESSMENT (MH/SA) T1023GT - TELEMEDICINE DIAGNOSTIC ASSESSMENT T1999 Individual goods and Services T2013 In-Home Skill Building Individual T2013HQ In-Home Skill Building Group T2013HQU4 (B3) - In-Home Skill Building - Group T2013U4 (B3) - In-home Skill Building - Individual T2014 Residential Supports Level ll T2014U2 AFL Residential Supports Level ll T2014U4 (B3) - Level 2 - Residential Supports T2014U4U2 (B3) - Level 2 AFL - Residential Supports
9 T2016HIU4 (B3) Level 5 - Residential Supports T2016HIU4U2 (B3) - Level 5 AFL Residential Supports T2020 Residential Supports Level III T2020U2 -AFL Residential Supports Level III - AFL T2020U4 (B3) - Level 3 - Residential Supports T2020U4U2 (B3) - Level 3 AFL - Residential Supports T2021 Day Supports Individual T2021HQ Day Supports Group T2021HQU4 (B3) - Day Support - Group T2021U4 (B3) - Day Supports - Individual T2025 Specialized Consultation Services T2025HO Specialized Consultative Service (BCBA) T2025HOU4 (B3) - Specialized Consultative Services - BCBA T2025U3 Behavioral Consultation T2025U3U4 (B3) - Behavioral Consult T2025U4 (B3) - Specialized Consultative Services T2027 Day Supports Developmental Day T2027U4 (B3) - Developmental Day T Enteral Formula T Enteral Formula T Enteral Formula
10 T Enteral Formula T Enteral Formula T Enteral Formula T Enteral Formula T Enteral Formula T2029-Assistive Services Equipment and Supplies T2029U4 (B3) - Assistive Technology Equipment and Supplies T2034 Out of Home Crisis T2034U4 (B3) - Crisis Services - Out of Home T2039 Vehicle Modification T2039U4 (B3) - Vehicle Modifications T2041 B3 - Community Guide Monthly B3 Service T2041 Community Guide Monthly T2041U1 Community Guide Start Up Training T2041U1 DO NOT USE Community Guide Periodic diff code not know now T2041U1U4 (B3) - Community Guide - Periodic T2041U4 (B3) - DI Community Guide - Monthly T2041U4EP - (B3) Community Guide EPSDT T2041U4U5 (B3) - Community Guide - Monthly
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