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Harvard Pilgrim Health CareAll Plans · Billing Codes · Reimbursement · MA · PsychiatryHigh impact

Billing behavioral health urgent care performed via telehealth

Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Point32Health updated their policy for billing behavioral health urgent care (BHUC) services provided via telehealth. Claims must now use HCPCS code H2013 on the primary line with specific place of service codes and modifiers, while telehealth-specific POS codes can only be used on informational lines.

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What to do

immediately · 4 steps
01Billing team must update claim submission procedures for behavioral health urgent care telehealth services.
02Use HCPCS code H2013 on primary claim line with POS 11 or POS 53 and modifier HB (adults) or HA (adolescents).
03Add informational lines with zero-pay service codes and telehealth POS codes (02 or 10) as appropriate.
04Update billing software rules to prevent using POS 02 or 10 on primary claim lines.

Codes mentioned

H2013

Original notice

Billing behavioral health urgent care performed via telehealth
point32health.org · Always check the source before changing claims.
View original ↗

Related changes

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Related policy hubs

Harvard Pilgrim Health Care policiesMA policy changesPsychiatryCode H2013

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