Behavioral Health Specialty
LCSW Billing Services for Clinical Social Workers
Accurate LCSW billing for diagnostic evaluations, psychotherapy, and Medicare/Medicaid claims.
Overview
Specialty billing built for Clinical Social Work (LCSW)
Licensed Clinical Social Workers deliver a large share of outpatient behavioral health care — and their billing rules are different from physicians and psychologists. Ambit Global Solution provides LCSW billing services that align CPT selection with documented time, apply the right credential modifiers, and keep authorizations from silently cutting off reimbursements.
Why it matters
- 01
Medicare & Medicaid nuances
LCSWs have long billed Medicare at a distinct fee schedule percentage. Missing state Medicaid credential modifiers is a common automatic denial.
- 02
Time documentation
Psychotherapy codes depend on documented minutes. Notes and billed time must match to avoid denials and audit risk.
- 03
Scope boundaries
LCSWs do not bill E/M or medication management codes. Clean specialty workflows prevent incorrect code selection.
Scope of work
What's included
- 01
90791 diagnostic evaluation coding (without medical services)
- 02
Time-based psychotherapy codes 90832 / 90834 / 90837
- 03
Group therapy (90853) and family therapy (90846 / 90847) support
- 04
Credential-level modifiers (e.g. HO) where Medicaid requires them
- 05
Session-limit tracking and prior authorization alerts
- 06
Telehealth POS + modifier handling for LCSW visits
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FAQ
Frequently asked questions
Diagnostic evaluation 90791 and psychotherapy 90832, 90834, and 90837 are the core set, plus group and family therapy codes when clinically appropriate.
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