What does U5 modifier mean?

The U5 and UB modifiers are required on procedure codes on claims for therapy treatment. If a provider is submitting a claim with the U5 modifier when the treatment was performed by a licensed assistant, that is fraudulent billing and upon inspection or audit, that provider would be at risk for recoupment.

How do you bill a T1015?

Yes, all E&M services and T1015 must be billed with the modifier indicator that describes the type of provider rendering the service. (Ex. A service performed by a physician would be billed with modifier AM.) services and any additional required modifier.

What is code T1015?

HCPCS Code T1015 T1015 is a valid 2021 HCPCS code for Clinic visit/encounter, all-inclusive or just “Clinic service” for short, used in Medical care.

What is a UB modifier?

UB Used for surgical or general anesthesia-related supplies and drugs, including surgical trays and plaster casting supplies, provided in conjunction with a surgical procedure code.

What is U4 modifier?

U4 – Medicaid level of care 4, as defined by each state.

Who can bill T1015?

HCPCS code T1015 identifies an all-inclusive clinic visit, which includes the medical diagnosis and treatment services rendered at a federally qualified health center or community health center. Only federally qualified health centers (FQHC) or community health centers (CHC) can file claims with HCPCS code T1015.

What is CPT code T1016?

According to the AHCCCS Covered Behavioral Health Services Guide, HCPCS Code T1016 – Case management, each 15 minutes, is a supportive service to provide oversight and/or enhance and assist a member with identified treatment goals and monitor treatment effectiveness.

What is U2 modifier?

U2 – Medicaid level of care 2, as defined by each state. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.