H0031 Mh health assess by non-md
Also known as: mental health assessment, psychological evaluation, MH eval
Mental health assessment and evaluation services provided by a non-physician qualified mental health professional.
In Plain Language
mental health check-up; emotional health assessment
Clinical Context
Used for comprehensive mental health evaluation and diagnosis conducted by licensed clinical social workers, psychologists, or counselors to assess psychiatric and psychological functioning.
RVU Information
CPT H0031 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 H0031?
CPT H0031 (Mh health assess by non-md) is a Other HCPCS code. Mental health assessment and evaluation services provided by a non-physician qualified mental health professional.
Does Medicare cover H0031?
Medicare coverage for H0031 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for comprehensive mental health evaluation and diagnosis conducted by licensed clinical social workers, psychologists, or counselors to assess psychiatric and psychological functioning. A physician order is typically required.
When is CPT H0031 used?
Used for comprehensive mental health evaluation and diagnosis conducted by licensed clinical social workers, psychologists, or counselors to assess psychiatric and psychological functioning.
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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.