H2013 Psychiatric hlth fac service, per diem
Also known as: psychiatric facility services, behavioral health facility, facility services
Psychiatric/behavioral health facility services provided on a per diem basis.
In Plain Language
mental health facility care; psychiatric facility services
Clinical Context
Used for psychiatric or behavioral health facility-based services provided on a daily basis including institutional treatment programs.
RVU Information
CPT H2013 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 H2013?
CPT H2013 (Psychiatric hlth fac service, per diem) is a Other HCPCS code. Psychiatric/behavioral health facility services provided on a per diem basis.
Does Medicare cover H2013?
Medicare coverage for H2013 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for psychiatric or behavioral health facility-based services provided on a daily basis including institutional treatment programs. A physician order is typically required.
When is CPT H2013 used?
Used for psychiatric or behavioral health facility-based services provided on a daily basis including institutional treatment programs.
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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.