MedicaidBilling CodesMedium impact
Hopsital Peer Support Billing
Kentucky Medicaid·KY · Psychiatry·Coding
Effective date
Mar 25, 2024
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid now allows hospital providers to bill for peer support services using CPT code H0038 in outpatient settings only. Inpatient mental health services must use appropriate ICD-10 procedure codes instead.
Action Required
Immediately: Hospital billing teams in Kentucky must update billing systems to allow CPT code H0038 for peer support services in outpatient settings only, using any revenue code except 360, 481, and 900. Ensure inpatient mental health peer support services use appropriate ICD-10 procedure codes instead. Monitor www.kymmis.com for updated billing guidelines.