H0011 Alcohol and/or drug services
Also known as: substance abuse counseling, addiction counseling, drug rehab services
Behavioral health services for alcohol and/or drug abuse treatment provided in individual or group settings.
In Plain Language
alcohol or drug counseling; addiction treatment
Clinical Context
Used for therapeutic services addressing alcohol and drug abuse treatment including counseling, behavioral interventions, and recovery support.
RVU Information
CPT H0011 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 H0011?
CPT H0011 (Alcohol and/or drug services) is a Other HCPCS code. Behavioral health services for alcohol and/or drug abuse treatment provided in individual or group settings.
Does Medicare cover H0011?
Medicare coverage for H0011 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for therapeutic services addressing alcohol and drug abuse treatment including counseling, behavioral interventions, and recovery support. A physician order is typically required.
When is CPT H0011 used?
Used for therapeutic services addressing alcohol and drug abuse treatment including counseling, behavioral interventions, and recovery support.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.