CommercialBilling CodesMedium impact
Billing Guidance Update: Intensive Outpatient
Blue Cross Blue Shield of Wyoming·WY · Psychiatry·Provider Update
Effective date
Nov 10, 2020
We identified it
Jun 19, 2026
Summary
BCBSWY updated billing guidance for procedure code H0015 (intensive outpatient alcohol/drug services) effective 11/10/20. The code must be billed as one unit per day per line on CMS 1500 or 837P claims only, with no date ranges, and other group sessions on the same day will be denied as included.
Action Required
Immediately: Billing team must update system rules for H0015 to bill only one unit per day per line on CMS 1500 or 837P claims. Stop using date ranges for this code. Train staff that other group sessions billed on same day as H0015 will be denied as bundled services.