Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 100.4

Outpatient Mental Health Treatment Limitation

Last amended: 2013Year: 2013Length: 120 wordsOfficial source
100.4 - Outpatient Mental Health Treatment Limitation (Rev. 2736, Issued: 06-28-13, Effective: 10-01-12, Implementation: 10-07-13) The Outpatient Mental Health Treatment Limitation (the limitation) is not applicable to CORF services because CORFs do not provide services to treat mental, psychoneurotic and personality disorders that are subject to the limitation in section 1833(c) of the Act. For dates of service on or after October 1, 2012, HCPCS code G0409 is the only code allowed for social work and psychological services furnished in a CORF. This service is not subject to the limitation because it is not a psychiatric mental health treatment service. For additional information on the limitation, see Publication 100-01, Chapter 3, section 30 and Publication 100-02, Chapter 12, sections 50-50.5.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 100.4: Outpatient Mental Health Treatment Limitation | Justis AI