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H0037 Comm psy superior treatment pgm per diem

Other HCPCS

Also known as: community psych services, mental health program, day program

Community psychiatric support and treatment program services on a per diem basis.

In Plain Language

community mental health program; daily mental health support

Clinical Context

Used for comprehensive daily community psychiatric treatment programs providing integrated support services for individuals with serious mental illness.

RVU Information

CPT H0037 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

PsychiatryCommunity Mental HealthBehavioral Health

Frequently Asked Questions

What is CPT code H0037?

CPT H0037 (Comm psy superior treatment pgm per diem) is a Other HCPCS code. Community psychiatric support and treatment program services on a per diem basis.

Does Medicare cover H0037?

Medicare coverage for H0037 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for comprehensive daily community psychiatric treatment programs providing integrated support services for individuals with serious mental illness. A physician order is typically required.

When is CPT H0037 used?

Used for comprehensive daily community psychiatric treatment programs providing integrated support services 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.