H0036 Comm psy face-face per 15min
Also known as: community psych services, mobile treatment, assertive community treatment
Community psychiatric support and treatment services provided face-to-face per 15-minute increment.
In Plain Language
community mental health support; in-community counseling
Clinical Context
Used for community-based mental health services including counseling, behavioral interventions, and support provided in community settings for individuals with serious mental illness.
RVU Information
CPT H0036 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 H0036?
CPT H0036 (Comm psy face-face per 15min) is a Other HCPCS code. Community psychiatric support and treatment services provided face-to-face per 15-minute increment.
Does Medicare cover H0036?
Medicare coverage for H0036 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for community-based mental health services including counseling, behavioral interventions, and support provided in community settings for individuals with serious mental illness. A physician order is typically required.
When is CPT H0036 used?
Used for community-based mental health services including counseling, behavioral interventions, and support provided in community settings for individuals with serious mental illness.
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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.