H0053 Ht mental health and care
Also known as: HT program, health transformation, integrated care
Mental health and integrated care services provided through the Health Transformation program.
In Plain Language
integrated health and mental health care; coordinated health services
Clinical Context
Used for comprehensive integrated mental health and medical care services within health transformation initiatives.
RVU Information
CPT H0053 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 H0053?
CPT H0053 (Ht mental health and care) is a Other HCPCS code. Mental health and integrated care services provided through the Health Transformation program.
Does Medicare cover H0053?
Medicare coverage for H0053 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for comprehensive integrated mental health and medical care services within health transformation initiatives. A physician order is typically required.
When is CPT H0053 used?
Used for comprehensive integrated mental health and medical care services within health transformation initiatives.
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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.