Resolved H0046 Mental health services, not otherwise specified

[LisaH_40390]

Can this code be billed for a MA seeing a client?

 

[Lori]

Eligible Providers​

Mental health providers are eligible to bill for mental health provider travel time.

HCPCS code H0046 for Mental health services, not otherwise specified as maintained by CMS falls under Miscellaneous Drug and Alcohol Services.

Medicare does not pay for this code.

H0046 Mental health services, not otherwise specified.

Use for travel time for in-home services. Bill 1 unit per 1 minute.

Billing​

Refer to the following billing requirements:

• Bill travel time using MN–ITS 837P
• If the provided service was authorized, bill the travel time on a separate claim
• Enter the treating provider NPI number for each line item. If the individual provider is a mental health practitioner, MHBA, or mental health rehabilitation worker, bill using the NPI number of the supervising mental health professional with the appropriate modifier when necessary
• Use the appropriate place of service code. The place of service may be a member’s home, the workplace or other setting as defined in the member’s treatment plan
• Use modifiers when appropriate. Enter the number of minutes of travel time in the units field

https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058052

A specific narrative description detailing exactly what the charge is for must be submitted with this code.

CPT Code 96127 is a generic mental health screening code that is covered by most major insurances. It is designed to pay for the evenly applied screening of a large patient population to uncover underlying mental health conditions