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25-607 Use Correct CPT Codes and Modifiers When Billing for Mobile Crisis Services
Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
Health Net California requires specific CPT codes, HIPAA modifiers, and Place of Service 15 (Mobile Unit) for behavioral health mobile crisis services to receive in-network reimbursement rates. Claims not using the specified codes and modifiers will apply standard out-of-network benefits and cost sharing.
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What to do
immediately · 3 steps
01Billing team must update system to require Place of Service 15 (Mobile Unit) for all behavioral health mobile crisis claims.
02Use only the specified CPT/HCPCS codes (H0007, H0030, H0018, H2011, H2017, T1017, S9484, S9485, 90791, 90792, 90839, 90840, G0017, G0018, G0544, G0560) and appropriate HIPAA modifiers based on provider licensure.
03Train staff that claims without proper codes/modifiers will process at out-of-network rates with higher patient cost sharing.
Codes mentioned
H0007H0030H0018H2011H2017T1017S9484S948590791907929083990840G0017G0018G0544G0560
Original notice
25-607 Use Correct CPT Codes and Modifiers When Billing for Mobile Crisis Services
providerlibrary.healthnetcalifornia.com · Always check the source before changing claims.