Quick Guide on Behavioral Health Integration Services

The Centers for Medicare & Medicaid Services (CMS) annually updates Medicare guidelines and payments for services provided by medical treating providers for patients participating in a Collaborative Care program or receiving other behavioral health integration services. This handout summarizes the Medicare codes and guidelines.

The payment structure may be used to treat patients with any behavioral health condition that is being treated by the billing practitioner, including substance use disorders.

Basic Coding for Integrated Behavioral Health Care

There are different ways to bill for integrated behavioral health care depending on your model and staffing. This handout gives a brief overview of basic CPT and Medicare billing codes for behavioral health integration and Collaborative Care.

Remember to check with your state and all payers to determine the necessary qualifications for the designated billing providers. Not all states or payers reimburse for every code.

Quick Guide on Medicare Payments for Office-Based Substance Use Disorder Services

In January 2021, the Centers for Medicare & Medicaid Services (CMS) announced that the bundled payments for the overall treatment of OUD can be used for any substance use disorder or treating several at one time. This quick guide summarizes the codes that can be used to bill for these services.