How is this indicated on the claim form?
S9840 is a Healthcare Common Procedure Coding System (HCPCS) code used for telehealth services. However, whether or not insurance allows reimbursement for S9480 via telehealth will depend on the specific insurance plan and policy.
To indicate that the service was provided via telehealth on the claim form, you would need to use the appropriate modifier. The modifier for telehealth services is GT, which should be appended to the procedure code (S9480) when billing for telehealth services.
It is important to note that not all insurance plans cover tele-health and even those that do may have specific requirements or limitations. Therefore, it is recommended that you check with the insurance provider or consult the policy documentation to verify coverage and any necessary documentation or requirements for reimbursement.
H0001 and 90791 are two different procedure codes used in mental health services.
H0001 is a HCPCS code used for substance abuse assessment and counseling services. This code is used to bill for substance abuse counseling and treatment services, such as assessments, individual and group counseling sessions, and case management services. H0001 is typically used in the context of substance abuse treatment programs, where the focus is on treating addiction and related issues.
On the other hand, 90791 is a Current Procedural Terminology (CPT) code used for psychiatric diagnostic evaluation. This code is used to bill for initial psychiatric evaluations, where a clinician assesses a patient’s mental health condition, medical history, and related factors to arrive at a diagnosis and treatment plan. 90791 is typically used in the context of mental health treatment, where the focus is on addressing a wide range of mental health conditions.
Therefore, you would bill H0001 when providing substance abuse assessment and counseling services, and 90791 when providing psychiatric diagnostic evaluation services for mental health conditions. It’s important to note that the appropriate code to use may depend on the specific services provided and the requirements of the payer. Therefore, it’s always a good idea to consult with the payer or a coding specialist to ensure that you are billing the appropriate code for the services provided.