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CCBHC Billing Codes

Claims data are a crucial element for claiming enhanced federal matching funds and for quality measure collection and calculation.  CCBHC claims should include all detailed line items and identifiers for services provided in accordance with section 5.A Data Collection, Reporting and Tracking, of the CCBHC Certification Criteria. To assist CCBHC states, CMS developed CCBHC Demonstration billing codes.

CMS CCBHC Demonstration Billing Codes

On November 17, 2016, CMS published the 2017 Alpha Numeric Healthcare Common Procedure Coding System (HCPCS) File & Code Sets which contain dedicated CCBHC Demonstration encounter billing codes and a billing code modifier. The “T” codes are for CCBHCs to bill for Demonstration encounters while the Q2 modifier can be used for billing service-level data associated with each Demonstration encounter. These codes are effective for dates of service on and after January 1, 2017.

Learn more about the full updates on CMS.gov. 

HCPCLong DescriptionShort Description
T1040Medicaid certified community behavioral health clinic services, per diemComm bh clinic svc per diem
T1041Medicaid certified community behavioral health clinic services, per monthComm bh clinic svc per month
Q2Demonstration procedure/serviceDemo procedure, service