H1011 Family assessment
Also known as: family assessment, family evaluation, psychosocial assessment
Family assessment and evaluation services addressing family structure, functioning, and support systems.
In Plain Language
family health evaluation; family support assessment
Clinical Context
Used for comprehensive family assessment examining family dynamics, support systems, and psychosocial factors affecting health and well-being.
RVU Information
CPT H1011 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 H1011?
CPT H1011 (Family assessment) is a Other HCPCS code. Family assessment and evaluation services addressing family structure, functioning, and support systems.
Does Medicare cover H1011?
Medicare coverage for H1011 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for comprehensive family assessment examining family dynamics, support systems, and psychosocial factors affecting health and well-being. A physician order is typically required.
When is CPT H1011 used?
Used for comprehensive family assessment examining family dynamics, support systems, and psychosocial factors affecting health and well-being.
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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.