H2012 Behav hlth day treat, per hour
Also known as: day treatment, behavioral health day program, day program
Behavioral health day treatment services per hour including structured therapeutic programming.
In Plain Language
daytime mental health program; behavioral health day class
Clinical Context
Used for structured day treatment programs providing intensive behavioral health services and therapeutic programming on an hourly basis.
RVU Information
CPT H2012 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 H2012?
CPT H2012 (Behav hlth day treat, per hour) is a Other HCPCS code. Behavioral health day treatment services per hour including structured therapeutic programming.
Does Medicare cover H2012?
Medicare coverage for H2012 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for structured day treatment programs providing intensive behavioral health services and therapeutic programming on an hourly basis. A physician order is typically required.
When is CPT H2012 used?
Used for structured day treatment programs providing intensive behavioral health services and therapeutic programming on an hourly basis.
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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.