• Background Information

• Approved HCPCS and CPT Codes and Modifiers For Substance Abuse Treatment, Mental Health, and Behavioral Health – Alphabetical Listing, May 2005 (Word Document)

• Approved HCPCS and CPT Codes and Modifiers For Substance Abuse Treatment, Mental Health, and Behavioral Health – Numeric Listing, May 2005 (Word Document)

• Approved HCPCS and CPT Codes and Modifiers for Behavioral Health – Alphabetical Listing, April 2003 (Word Document)

The Centers for Medicare and Medicaid Services (CMS, formerly the Health Care Financing Administration, or HCFA), manages one of the HIPAA-approved procedure code sets. This link identifies the HCPCS procedure codes relevant to alcohol, substance abuse and mental health treatment.

• Approved HCPCS and CPT Codes and Modifiers for Behavioral Health – Numeric Listing, April 2003 (Word Document)

Another HIPAA-approved code set is the Common Procedural Terminology, 4th edition, procedure set. This link identifies the CPT procedure codes which are relevant to alcohol, substance abuse and mental health treatment. 

• Proposed Substance Abuse HIPAA Procedure Codes for HCPCS (PDF File Format), March 2001

• ProposedSubstance Abuse Modifer Sets (PDF File Format), March 2001

• Minutes of Code Set Meeting to Review and Respond to HCPCS Comments on March 2001 Codes Set Submission, Co-sponsored by NASADAD and CSAT, November 2001 (PDF File Format)

• Proposed Substance Abuse Treatment Services Procedure Codes for HCPCS (second submission), February 2002

• Proposed Behavioral Health Services Procedure Codes for HCPCS, February 2002  

• Proposed Behavioral Health Services Modifier Codes for HCPCS, February 2002 (PDF File Format)

• Proposed Mental Health Services Procedure Codes for HCPCS, February 2002 (PDF File Format)

• Comparison of the March 2001 and February 2002 Proposed Treatment Services Procedure Code Set Submissions to HCPCS (PDF File Format)

Other Helpful Links Related to HIPAA Procedures Code

http://www.cms.hhs.gov/hipaa/

• Current Procedural Coding System (HCPCS)

This Medicare page provides general information on treatment procedure codes.

http://cms.hhs.gov/medicare/

These Organizations are comprised of Data Content Committees (DCCs) and Standard Setting Organizations (SSOs). These organizations have agreed to maintain designated national standards relevant to the final "Standards for Electronic Transactions" rule according to the criteria established by the Secretary of Health and Human Services.

http://www.hipaa-dsmo.org/

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This page was last updated on 19 July, 2002
SAMHSA is An Agency of the U.S. Department of Health & Human Services