![Guide to H0031, H0032, H2014, Mental Health CPT Codes [2023]](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj6vNRulE98gwbs2NRPjTS78P7mztHcnxbF-N7UsfMASYUFlH2PDmV4JVcuHkHO-idOW3a5wtbKjeKZDiLan1VLtbrq0vQn2bnAxr-h0Hpfr1EzcKtmh-4aLViRAWCqw6WBjk3aEbdS6btrb-x_HOeJCJ4C36BA1m2vd7e_FoCwg5uZ1OYk7Qyis_KUjUIO/s728/Guide%20to%20H0031,%20H0032,%20H2014,%20Mental%20Health%20CPT%20Codes%20%5B2023%5D.webp "Guide to H0031, H0032, H2014, Mental Health CPT Codes [2023]")
We can ‘put our proxies in a cage’, employ complex computer algorithms that predict our thoughts and desires, and denominate every behavioural health emission with CPT codes: Current Procedural Terminology codes. But first of all, CPT codes appear to be used in every aspect of every health practice. The correct coding and billing of all insurance claims are determined by one’s knowledge of CPT codes. The majority of therapists and other professionals I worked with and supervised who were paid by insurance before were adept at identifying what a CPT code was. Typically, most professionals who were paid by insurance came to know how their employers used audits and denials of care to contain unnecessary services based primarily on incorrect CPT codes, so I do recommend that all professionals who share my hospice experience learn the 23 CPT codes, including H0031, H0032, H2014, etc, and their descriptors, billing parameters and modifiers. I am writing this article to assist a behavioural health professional learning how to avoid many of the pitfalls associated with understanding not only their work, but also correctly how to bill for their work, using the five most frequently used CPT codes.
H0031 CPT Code Description and Billing Guidelines
H0031 Non-physician Mental Health Assessment (initial evaluation of a patient’s mental health condition and information relevant to that condition,such as administration of diagnostic interviews, psychological testing and behavioural observation.) 1
Billing Guidelines for H0031:
For H0031, you will document the time spent testing and the service you provided.
- Ensure that the assessment is medically necessary and supports the diagnosis.
- Follow proper documentation standards, including the patient's history, assessment findings, and treatment plan.
• what hard costs data have to be generated and sent to an insurer or payer to be reimbursed • what has to be given to patients and how principles of self-efficacy can be incorporated without driving up complexity.
H0032 CPT Code Description and Billing Guidelines
CPT Code 90832: Mental Health Services; per 30 minutes, individual, marital, family therapy or groupsWith 90832 you can code ‘mental health services provided by a licensed clinical social worker (LCSW), licensed professional counsellor (LPC) and other mental health professionals [used when reporting psychotherapy services furnished to an individual, married or unmarried couple, family, or group]’. Attention Deficit Disorder (ADD) is the term most commonly used in the US for problems of inattention, impulsiveness and hyperactivity that are often called attention deficit hyperactivity disorder (ADHD).
Billing Guidelines for H0032:
You must appreciate The Code Which Is Not Only Intended To Be Followed But Like Code Must Be Followed And Enforced And Appreciated when you check the box for H0032 for your claim. Not even an Axis I (orientation disorder) patient can have transcranial magnetic stimulation twice daily for an hour over six weeks.
- Document the therapeutic interventions, goals, and progress notes to support the services billed.
- Using billing codes that satisfy the requirements set by insurance carriers or payers.
H2014 CPT Code Description and Billing Guidelines
For example, the code H2014, which stands for the ‘administration of Psychosocial Rehabilitation Services designed to assist persons with mental health conditions in developing the skills and supports necessary for recovery, rehabilitation, and independent living in the community’, is a US Current Procedural Terminology (CPT).
Billing Guidelines for H2014:
Document what you did pre- and post-disaster, and you will be rewarded for it – recording services offered and outcomes using H2014 will help you detect patterns and relationships from the built environment to rehabilitation interventions and goals, and through to pathways to treatment and care outcomes.
- Ensure that the services are medically necessary and align with the individual's treatment plan.
- Familiarize yourself with any additional guidelines or requirements provided by insurance companies or payers.
Modifier HH and Other Relevant Modifiers
Modifiers – your payer may say it’s ‘additional description codes’ – are like additional modifiers you use to describe the service more fully, or state that your services fall into a specific category, eg, under special circumstances. For example, UB modifier HH is used for the identification of mental health services by a licensed clinician provided in the Health and Behaviour Assessment and Intervention (HBAI) setting. No modifiers, no additional explanation. Be sure to use them only if your carrier (payer) guides you to do so.
CPT Code H0032 and H20
FAQs
1. What is the difference between H0031 and H0032?
H0031 is for Mental Health Assessment and H0032 is used for Mental Health Services, which covers visits for any kind of psychotherapy services provided by clinical social workers, professional counsellors, and other mental health practitioners.
2. Can H0032 be used for group therapy sessions?
- Yes, H0032 can be used for individual, couples, family, and group therapy sessions [2]
3. Are there any specific guidelines for billing H2014?
Yes, under the billing code for H2014, all services able to be offered for the rehabilitation intervention should be documented as part of the plan of care.
Conclusion
However, it is important to use mental health CPT codes in an intelligent fashion when it comes to coding compliance and reimbursement issues. We hope this guide has been helpful in explaining the descriptors and billing instructions for codes H0031, H0032 and H2014. Please remember that you can always look at code-specific guidelines from your payer (insurance company) for more information and clarification. As a reminder, remember to accurately document services and check periodically for new code descriptors or procedures that may be added or deleted.
Disclaimer: all of this taken from sources [may vary depending on when accessed/last edited (this information is accurate as of September 2021)] – with respect to coding info in resources (eg, codes, tables, directions etc), treat really as supplementary information/resources you could ever have, never as outright replacement for what you have.
References:
1. Mental Health CPT Codes: The Definitive Guide [2023] - TheraThink.com. Retrieved from [here]
2. CPT Codes for Psychotherapy and Other Psychology Services - Psych Central. Retrieved from [here]
http://www.cms1500claimbilling.com/2016/08/cpt-code-h0031.html