CCBHC Billing Codes
Related Resources
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.
HCPC | Long Description | Short Description |
---|---|---|
T1040 | Medicaid certified community behavioral health clinic services, per diem | Comm bh clinic svc per diem |
T1041 | Medicaid certified community behavioral health clinic services, per month | Comm bh clinic svc per month |
Q2 | Demonstration procedure/service | Demo procedure, service |