H0043 Supported housing, per diem
Also known as: supported housing, housing services, housing support
Supported housing services including stable housing with community support on a per diem basis.
In Plain Language
safe housing support; community housing with help
Clinical Context
Used for supported housing programs providing stable housing combined with ongoing community support services for individuals with behavioral health conditions.
RVU Information
CPT H0043 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 H0043?
CPT H0043 (Supported housing, per diem) is a Other HCPCS code. Supported housing services including stable housing with community support on a per diem basis.
Does Medicare cover H0043?
Medicare coverage for H0043 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for supported housing programs providing stable housing combined with ongoing community support services for individuals with behavioral health conditions. A physician order is typically required.
When is CPT H0043 used?
Used for supported housing programs providing stable housing combined with ongoing community support services for individuals with behavioral health conditions.
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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.