Your Spravato claims broke on Jan 1.
CMS retired code S0013 and replaced it with J0013. If your billing team did not switch, your esketamine claims are getting denied right now. I fix that.
Get a free 15-min auditWhat actually changed
For 2026, CMS deleted the temporary HCPCS code S0013 that many clinics used to bill esketamine (Spravato) supply. In its place is the permanent code J0013.
The two codes do not carry the same units or descriptor. A claim submitted with the old code, or with the new code and the wrong unit math, gets rejected or underpaid. Payers do not always tell you why in plain language. You just see the denials pile up.
The quiet part: a code swap looks like a one-line edit. In practice it touches your charge master, your unit conversion, your prior auth records, and every pending claim already in the queue. Miss one and the money stops.
Why this hits Spravato clinics hard
- Spravato is a high-dollar drug. A handful of denied claims is real revenue sitting unpaid.
- The REMS and observation requirements mean each session already carries a lot of billing steps. One broken code cascades.
- Denials from a January code change can take weeks to surface, so the hole is bigger than it looks by the time anyone notices.
What the free audit covers
- 1Fifteen minutes, on a call.You tell me what you bill and what is coming back denied.
- 2I check the switch.Whether your setup moved cleanly from S0013 to J0013, and whether the units are right.
- 3You get a straight answer.What is broken, roughly how much is stuck, and what it takes to fix it. If nothing is wrong, I tell you that.
If it needs fixing: the rescue
When the audit finds real problems, I offer a fixed-fee rescue. You know the price before I start. No hourly meter, no surprise invoice.
The rescue covers correcting the codes and units in your workflow, sorting the claims that can be corrected and resubmitted, and giving your team a simple checklist so this does not happen on the next code change.
Find out what is stuck
Send one email. I reply with a time. The 15 minutes cost nothing.
Get a free 15-min auditStraight answers
Yes. The 15-minute audit costs nothing and there is no obligation. You only pay if you want the fixed-fee rescue after.
No. I am a TMS coordinator who runs NeuroStar every day and builds software for the practice side. I know how these codes flow because I work inside this world, not from a call center.
No. I work with what you have. I find the break, fix the code and unit setup, and hand your team a checklist. You keep your people and your systems.
Then I tell you that in the 15 minutes and you spend nothing. I would rather send you off clean than sell you a fix you do not need.
A few example denials and how you are currently billing esketamine. That is enough to see whether the code switch landed.
I am Damon Rolnick. I coordinate TMS care and run NeuroStar daily. I helped grow a TMS practice from 2 to 3 patients a day up to 10 to 12, and I write a practice-operations newsletter that is 19 issues in. RE:Mind Your Practice is the software and hands-on help I build for TMS and Spravato clinics.