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DISCLAIMER: This document is a mockup created for training and illustrative purposes only. It is NOT a coding guide and should not be used to determine code selection. Appropriate coding must always be based on the clinical documentation for each individual patient, in accordance with payer requirements, federal and state regulations, and applicable coding guidelines.
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Level of CareHCPCSREVHCPCS / CPTDescriptionRevenue CodeDescription
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MH IOPS94800905H0015Alcohol and/or drug services; intensive outpatient (IOP) — program operating ≥3 hrs/day, ≥3 days/week0900Behavioral Health Treatments/Services — General Classification
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MH PHPH00350912/0913H0035Mental health partial hospitalization (PHP), treatment, less than 24 hours0905Behavioral Health — Intensive Outpatient Services, Psychiatric
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SUD IOPH00150906S0201Partial hospitalization services, less than 24 hours, per diem0906Behavioral Health — Intensive Outpatient Services, Chemical Dependency
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SUD PHPS02010912/0913H0018Behavioral health; short-term residential (non-hospital), without room and board, per diem0912Behavioral Health — Partial Hospitalization, Less Intensive
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SUD RTCH00181002H0017Behavioral health; residential (hospital residential treatment program), without room and board, per diem0913Behavioral Health — Partial Hospitalization, Intensive
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SUD DTXH00100126H0019Behavioral health; long-term residential (non-medical, non-acute), without room and board, per diem0914Behavioral Health — Individual Therapy
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OP - Grp908530915H2020Therapeutic behavioral services, per diem0915Behavioral Health — Group Therapy
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OP - Ind9083x0914H2036Alcohol and/or other drug treatment program, per diem1000Behavioral Health Accommodations — General Classification
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H2013Psychiatric health facility service, per diem1002Behavioral Health Accommodations — Residential Treatment, Chemical Dependency
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H2001Rehabilitation program, per half day0124Room & Board, Semi-Private (Two Beds) — Psychiatric
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S9480Intensive outpatient psychiatric services, per diem0126Room & Board, Semi-Private (Two Beds) — Detoxification
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90791Psychiatric diagnostic evaluation (without medical services)0128Room & Board, Semi-Private (Two Beds) — Rehabilitation
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