H0035 Mh partial hosp treatment under 24h
Also known as: partial hospitalization, day treatment, PHP
Mental health partial hospitalization program or day treatment service lasting less than 24 hours per session.
In Plain Language
day mental health program; part-time hospital treatment
Clinical Context
Used for structured daytime mental health treatment programs providing intensive therapeutic services to patients not requiring full inpatient hospitalization.
RVU Information
CPT H0035 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 H0035?
CPT H0035 (Mh partial hosp treatment under 24h) is a Other HCPCS code. Mental health partial hospitalization program or day treatment service lasting less than 24 hours per session.
Does Medicare cover H0035?
Medicare coverage for H0035 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for structured daytime mental health treatment programs providing intensive therapeutic services to patients not requiring full inpatient hospitalization. A physician order is typically required.
When is CPT H0035 used?
Used for structured daytime mental health treatment programs providing intensive therapeutic services to patients not requiring full inpatient hospitalization.
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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.