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UIC PERINATAL MENTAL HEALTH PROJECT |
| 912 South Wood Street, 3rd floor, Chicago, IL |
1-800-573-6121 |
Billing for Peripartum Depression
Did you know that you can bill Illinois Department of Healthcare and Family Services (Medicaid) for screening for peripartum depression? Here is a helpful reference chart for billing Medicaid for peripartum depression screenings.
Billing for peripartum depression screening
| How to Bill Medicaid for Peripartum Depression Screening |
| Women’s Health Care Providers |
Pediatricians |
| Reimbursed as a “risk assessment” for women who are pregnant or within a year postpartum |
Reimbursed as a “risk assessment” for infants under age one |
Use an HFS-approved screening tool:
- Edinburgh Postnatal Depression Inventory
- Beck Depression Inventory
- Primary Care Evaluation of Mental Disorders Patient Health Questionnaire
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Use an HFS-approved screening tool:
- Edinburgh Postnatal Depression Inventory
- Beck Depression Inventory
- Primary Care Evaluation of Mental Disorders Patient Health Questionnaire
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| For pregnant women, use procedure code H1000 |
Record the screening as a risk assessment in the infant’s record. Maintain the results and copy of the screening instrument in a separate file or destroy or give to the mother. |
| For postpartum women, use procedure code 99420 with modifier HD under the woman’s Recipient Identification Number (RIN) |
Use procedure code 99420 with modifier HD under the infant’s Recipient Identification Number (RIN) |
| For billing questions, call the HFS Bureau of Comprehensive Health Services at   1-877-782-5565 |
If you have further questions, please call the Illinois Department of Healthcare and Family Services (HFS) Bureau of Comprehensive Health Services at 1-877-782-5565 or access the HFS website for information about screening for perinatal depression at http://www.hfs.illinois.gov/mch/112904screening.html.
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