Billing Codes for Residential Treatment Services Updated

Billing codes for residential treatment services have been updated in compliance with federal Medicaid regulations. The Local Codes (Y-Codes) have been replaced with National HCPCS Codes. As of May 3, 2015, NCTracks is using the National Codes – and modifiers where indicated – for residential treatment services. For claims and prior approval (PA) requests submitted for dates of service beginning May 3, a national code (and modifier where indicated) is required.

For more information and a list of the National Codes, see the April 2015 Medicaid Bulletin article at http://www.ncdhhs.gov/dma/bulletin/0415bulletin.htm#rts.