H-code: Behavioral health and substance use services Behavioral health and substance use services
94 codes
Billing context
H-codes are used by state Medicaid agencies for mental health and substance use services. They are not payable by Medicare.
| Code | Long descriptor | Payment limit (Q4 2026) | Added | Status |
|---|---|---|---|---|
| H0001 | Alcohol and/or drug assessment | — | Jan 1, 2001 | Active |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | — | Jan 1, 2001 | Active |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | — | Jan 1, 2001 | Active |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | — | Jan 1, 2001 | Active |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | — | Jan 1, 2001 | Active |
| H0006 | Alcohol and/or drug services; case management | — | Jan 1, 2001 | Active |
| H0007 | Alcohol and/or drug services; crisis intervention (outpatient) | — | Jan 1, 2001 | Active |
| H0008 | Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) | — | Jan 1, 2001 | Active |
| H0009 | Alcohol and/or drug services; acute detoxification (hospital inpatient) | — | Jan 1, 2001 | Active |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | — | Jan 1, 2001 | Active |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | — | Jan 1, 2001 | Active |
| H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | — | Jan 1, 2001 | Active |
| H0013 | Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) | — | Jan 1, 2001 | Active |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | — | Jan 1, 2001 | Active |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | — | Jan 1, 2001 | Active |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | — | Jan 1, 2001 | Active |
| H0017 | Behavioral health; residential (hospital residential treatment program), without room and board, per diem | — | Jan 1, 2001 | Active |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | — | Jan 1, 2001 | Active |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | — | Jan 1, 2001 | Active |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | — | Jan 1, 2001 | Active |
| H0021 | Alcohol and/or drug training service (for staff and personnel not employed by providers) | — | Jan 1, 2001 | Active |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | — | Jan 1, 2001 | Active |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | — | Jan 1, 2001 | Active |
| H0024 | Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) | — | Jan 1, 2001 | Active |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | — | Jan 1, 2001 | Active |
| H0026 | Alcohol and/or drug prevention process service, community-based (delivery of services to develop skills of impactors) | — | Jan 1, 2001 | Active |
| H0027 | Alcohol and/or drug prevention environmental service (broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law) | — | Jan 1, 2001 | Active |
| H0028 | Alcohol and/or drug prevention problem identification and referral service (e.g., student assistance and employee assistance programs), does not include assessment | — | Jan 1, 2001 | Active |
| H0029 | Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e.g., alcohol free social events) | — | Jan 1, 2001 | Active |
| H0030 | Behavioral health hotline service | — | Jan 1, 2001 | Active |
| H0031 | Mental health assessment, by non-physician | — | Jan 1, 2003 | Active |
| H0032 | Mental health service plan development by non-physician | — | Jan 1, 2003 | Active |
| H0033 | Oral medication administration, direct observation | — | Jan 1, 2003 | Active |
| H0034 | Medication training and support, per 15 minutes | — | Jan 1, 2003 | Active |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | — | Jan 1, 2003 | Active |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | — | Jan 1, 2003 | Active |
| H0037 | Community psychiatric supportive treatment program, per diem | — | Jan 1, 2003 | Active |
| H0038 | Self-help/peer services, per 15 minutes | — | Jan 1, 2003 | Active |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | — | Jan 1, 2003 | Active |
| H0040 | Assertive community treatment program, per diem | — | Jan 1, 2003 | Active |
| H0041 | Foster care, child, non-therapeutic, per diem | — | Jan 1, 2003 | Active |
| H0042 | Foster care, child, non-therapeutic, per month | — | Jan 1, 2003 | Active |
| H0043 | Supported housing, per diem | — | Jan 1, 2003 | Active |
| H0044 | Supported housing, per month | — | Jan 1, 2003 | Active |
| H0045 | Respite care services, not in the home, per diem | — | Jan 1, 2003 | Active |
| H0046 | Mental health services, not otherwise specifiedNOC / NOS | — | Jan 1, 2003 | Active |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specifiedNOC / NOS | — | Jan 1, 2003 | Active |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | — | Jan 1, 2003 | Active |
| H0049 | Alcohol and/or drug screening | — | Jan 1, 2007 | Active |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | — | Jan 1, 2007 | Active |
| H0051 | Traditional healing service | — | Apr 1, 2024 | Active |
| H0052 | Missing and murdered indigenous persons (mmip) mental health and clinical care | — | Jan 1, 2025 | Active |
| H0053 | Historical trauma (ht) mental health and clinical care for indigenous persons | — | Jan 1, 2025 | Active |
| H1000 | Prenatal care, at-risk assessment | — | Jan 1, 2002 | Active |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | — | Jan 1, 2002 | Active |
| H1002 | Prenatal care, at risk enhanced service; care coordination | — | Jan 1, 2002 | Active |
| H1003 | Prenatal care, at-risk enhanced service; education | — | Jan 1, 2002 | Active |
| H1004 | Prenatal care, at-risk enhanced service; follow-up home visit | — | Jan 1, 2002 | Active |
| H1005 | Prenatal care, at-risk enhanced service package (includes h1001-h1004) | — | Jan 1, 2002 | Active |
| H1010 | Non-medical family planning education, per session | — | Jan 1, 2003 | Active |
| H1011 | Family assessment by licensed behavioral health professional for state defined purposes | — | Jan 1, 2003 | Active |
| H2000 | Comprehensive multidisciplinary evaluation | — | Jan 1, 2003 | Active |
| H2001 | Rehabilitation program, per 1/2 day | — | Jan 1, 2003 | Active |
| H2010 | Comprehensive medication services, per 15 minutes | — | Apr 1, 2003 | Active |
| H2011 | Crisis intervention service, per 15 minutes | — | Apr 1, 2003 | Active |
| H2012 | Behavioral health day treatment, per hour | — | Apr 1, 2003 | Active |
| H2013 | Psychiatric health facility service, per diem | — | Apr 1, 2003 | Active |
| H2014 | Skills training and development, per 15 minutes | — | Apr 1, 2003 | Active |
| H2015 | Comprehensive community support services, per 15 minutes | — | Apr 1, 2003 | Active |
| H2016 | Comprehensive community support services, per diem | — | Apr 1, 2003 | Active |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | — | Apr 1, 2003 | Active |
| H2018 | Psychosocial rehabilitation services, per diem | — | Apr 1, 2003 | Active |
| H2019 | Therapeutic behavioral services, per 15 minutes | — | Apr 1, 2003 | Active |
| H2020 | Therapeutic behavioral services, per diem | — | Apr 1, 2003 | Active |
| H2021 | Community-based wrap-around services, per 15 minutes | — | Apr 1, 2003 | Active |
| H2022 | Community-based wrap-around services, per diem | — | Apr 1, 2003 | Active |
| H2023 | Supported employment, per 15 minutes | — | Apr 1, 2003 | Active |
| H2024 | Supported employment, per diem | — | Apr 1, 2003 | Active |
| H2025 | Ongoing support to maintain employment, per 15 minutes | — | Apr 1, 2003 | Active |
| H2026 | Ongoing support to maintain employment, per diem | — | Apr 1, 2003 | Active |
| H2027 | Psychoeducational service, per 15 minutes | — | Apr 1, 2003 | Active |
| H2028 | Sexual offender treatment service, per 15 minutes | — | Apr 1, 2003 | Active |
| H2029 | Sexual offender treatment service, per diem | — | Apr 1, 2003 | Active |
| H2030 | Mental health clubhouse services, per 15 minutes | — | Apr 1, 2003 | Active |
| H2031 | Mental health clubhouse services, per diem | — | Apr 1, 2003 | Active |
| H2032 | Activity therapy, per 15 minutes | — | Apr 1, 2003 | Active |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | — | Apr 1, 2003 | Active |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | — | Apr 1, 2003 | Active |
| H2035 | Alcohol and/or other drug treatment program, per hour | — | Apr 1, 2003 | Active |
| H2036 | Alcohol and/or other drug treatment program, per diem | — | Apr 1, 2003 | Active |
| H2037 | Developmental delay prevention activities, dependent child of client, per 15 minutes | — | Apr 1, 2003 | Active |
| H2038 | Skills training and development, per diem | — | Apr 1, 2022 | Active |
| H2040 | Coordinated specialty care, team-based, for first episode psychosis, per month | — | Oct 1, 2023 | Active |
| H2041 | Coordinated specialty care, team-based, for first episode psychosis, per encounter | — | Oct 1, 2023 | Active |