H0001 Alcohol and/or drug assess
Also known as: substance abuse assessment, addiction evaluation, ASAM assessment
Comprehensive assessment and evaluation of alcohol and/or drug abuse or dependence conducted by a qualified clinician.
In Plain Language
drug and alcohol screening test; substance use evaluation
Clinical Context
Used for initial comprehensive evaluation of patients with suspected alcohol or drug abuse/dependence to determine diagnosis, severity, and appropriate treatment planning.
RVU Information
CPT H0001 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
This HCPCS code requires documentation of medical necessity and a valid physician order. Coverage and reimbursement policies vary by payer. Check with the specific insurer for prior authorization requirements.
Specialties
Frequently Asked Questions
What is CPT code H0001?
CPT H0001 (Alcohol and/or drug assess) is a Other HCPCS code. Comprehensive assessment and evaluation of alcohol and/or drug abuse or dependence conducted by a qualified clinician.
Does Medicare cover H0001?
Medicare coverage for H0001 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for initial comprehensive evaluation of patients with suspected alcohol or drug abuse/dependence to determine diagnosis, severity, and appropriate treatment planning. A physician order is typically required.
When is CPT H0001 used?
Used for initial comprehensive evaluation of patients with suspected alcohol or drug abuse/dependence to determine diagnosis, severity, and appropriate treatment planning.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.