Billing Guidance Update: Intensive Outpatient

Effective 11/10/20

For procedure code H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education BCBSWY has updated our billing guidance.

This is a per diem code and should only have one unit billed per day. Please do not bill date ranges for this code. Bill one unit per day, per line on your claim.

BCBSWY requests that H0015 be billed on a CMS 1500 form or 837P electronic claims only. Other group sessions outside of the IOP services billed on the same day will be denied as included in.

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