All PlansBilling CodesHigh impact
Billing behavioral health urgent care performed via telehealth
Harvard Pilgrim Health Care·MA · Psychiatry·Reimbursement
We identified it
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.
Action Required
Immediately: Billing team must update claim submission procedures for behavioral health urgent care telehealth services. Use HCPCS code H2013 on primary claim line with POS 11 or POS 53 and modifier HB (adults) or HA (adolescents). Add informational lines with zero-pay service codes and telehealth POS codes (02 or 10) as appropriate. Update billing software rules to prevent using POS 02 or 10 on primary claim lines.