H0040 Assert comm treatment pgm per diem
Also known as: assertive community treatment, ACT program, intensive services
Assertive community treatment program services on a per diem basis.
In Plain Language
intensive community support program; mental health team services
Clinical Context
Used for comprehensive daily assertive community treatment programs providing integrated intensive services for individuals with serious mental illness.
RVU Information
CPT H0040 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 H0040?
CPT H0040 (Assert comm treatment pgm per diem) is a Other HCPCS code. Assertive community treatment program services on a per diem basis.
Does Medicare cover H0040?
Medicare coverage for H0040 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for comprehensive daily assertive community treatment programs providing integrated intensive services for individuals with serious mental illness. A physician order is typically required.
When is CPT H0040 used?
Used for comprehensive daily assertive community treatment programs providing integrated intensive 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.