H0052 Mmip mental health and care
Also known as: MMIP program, pregnant mental health, postpartum services
Mental health and integrated care services provided through the Medicaid Modernization Initiative for Pregnant women and Postpartum women.
In Plain Language
pregnancy mental health support; postpartum care
Clinical Context
Used for comprehensive integrated mental health and medical care services for pregnant and postpartum women addressing behavioral health needs during reproductive years.
RVU Information
CPT H0052 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 H0052?
CPT H0052 (Mmip mental health and care) is a Other HCPCS code. Mental health and integrated care services provided through the Medicaid Modernization Initiative for Pregnant women and Postpartum women.
Does Medicare cover H0052?
Medicare coverage for H0052 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for comprehensive integrated mental health and medical care services for pregnant and postpartum women addressing behavioral health needs during reproductive years. A physician order is typically required.
When is CPT H0052 used?
Used for comprehensive integrated mental health and medical care services for pregnant and postpartum women addressing behavioral health needs during reproductive years.
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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.