TMPPM 2008 > Texas Medicaid Services > School Health and Related Services (SHARS) > Benefits and Limitations

    
 

42.6.2.1 Counseling Services Billing Table

POS*
Procedure Code
Individual or Group

1, 2, or 9

1-96152 with modifier UB

Individual

1, 2, or 9

1-96153 with modifier UB

Group

*Place of Service: 1 = Office/School; 2 = Home; 9 = Other Locations

Providers must use a 15-minute unit of service for billing.

Refer to: "Billing Units Based on 15 Minutes" .

The recommended maximum billable time is one hour per day. Providers must submit documentation of the reasons for the additional time, if more than the recommended maximum time is billed.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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