H2031 Mh clubhouse service, per diem
Also known as: clubhouse service, psychiatric clubhouse per diem
Mental health clubhouse service provided on a per diem basis, including daily psychosocial rehabilitation and community engagement.
In Plain Language
daily mental health support program; day program for mental illness
Clinical Context
Psychosocial clubhouse model for serious mental illness, billed per calendar day. Includes vocational, social, and recreational activities.
RVU Information
CPT H2031 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 H2031?
CPT H2031 (Mh clubhouse service, per diem) is a Other HCPCS code. Mental health clubhouse service provided on a per diem basis, including daily psychosocial rehabilitation and community engagement.
Does Medicare cover H2031?
Medicare coverage for H2031 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Psychosocial clubhouse model for serious mental illness, billed per calendar day. Includes vocational, social, and recreational activities. A physician order is typically required.
When is CPT H2031 used?
Psychosocial clubhouse model for serious mental illness, billed per calendar day. Includes vocational, social, and recreational activities.
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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.