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HCPCS Code for Federally qualified health center (FQHC) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit G0470

HCPCS code G0470 for Federally qualified health center (FQHC) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit as maintained by CMS falls under Federally Qualified Health Center (FQHC) Visits.

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Official Long Descriptor

Federally qualified health center (FQHC) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit

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Code for psych follow-up visit in SNF?
Initial SNF visit billed 90792 w/G0469 (FQHC) - Paid Subsequent visit billed G0470 w/99308 -Medicare Denied. Code for follow-up psych visit in SNF (POS 32) ?... [ Read More ]
FQHC Billing Medical and Behavioral health with F DX on same day?
Medicare just completed a webinar on FQHC billing payment and reimbursement. You should be paid for both on the same claim, but did you add the G codes for the visits? In the FQHC world they are the... [ Read More ]
Therapy sessions and telehealth
As an FQHC, our behavioral health therapist are seeing Medicare patients via telehealth and I want to ensure we are billing appropriately. For example, can we bill 90832, G0470 and G2025 together?... [ Read More ]
Medicare: Telephone Visit Guidelines & Referrals
[QUOTE="ntreber, post: 473105, member: 269394"] As an FQHC you can bill for a medical visit and a BH visit on the same DOS. So I would say if the BH provider is employed by your FQHC that visit would ... [ Read More ]
How to Bill 2 Mental Health Visits on same day for FQHC
Does anyone know how to Bill 2 Mental Health Visits on the same day for FQHC electronically? The codes I have are 90792(telemedicine visit) and 90837 and the G code of G0470 automatically populates w... [ Read More ]
Billing frequency of CPT 90791 and 90792
[b]Frequency of 90791 and 90792[/b] Once per day there is a MUE of 1 with a MIA of 3 which means the code has a date of service edit allowing for it to be billed only once per day MAI 3: Date of Serv... [ Read More ]
Billing Two Visits From Same Date to Medicare (FQHC)
We are a FQHC and do this for our Medical/BH visits, we do use the modifier 59 on the G0467 or G0470 and our claims have been starting to process and we are receiving our rate for both visits.... [ Read More ]
Billing Two Visits From Same Date to Medicare (FQHC)
[QUOTE="hperry10, post: 410649, member: 331733"]Are you submitting them on the same claim? I am looking at one of the patients I do this for on a regular basis. She is seen by one of our doctors and a... [ Read More ]
Billing Two Visits From Same Date to Medicare (FQHC)
[QUOTE="robert.sager@crihb.org, post: 410648, member: 401218"]How do you do that? Every time I bill one claim for medical services and another for mental health, one gets paid and the other gets rejec... [ Read More ]
FQHC MCR Billing - Behavioral Health Providers
[QUOTE="cjtown, post: 396039, member: 1874"]Joyce, In our FQHC we bill the services of LCSW under the facility . G0469 – FQHC visit, mental health, new patient and G0470 – FQHC visit, mental he... [ Read More ]
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