H2034 A/d halfway house, per diem
Also known as: halfway house, addiction recovery housing, A/D halfway house
Alcohol and drug halfway house service provided on a per diem basis, including residential treatment and recovery support.
In Plain Language
residential recovery house for substance abuse; transitional living for people in recovery
Clinical Context
Residential facility providing structured environment, peer support, and recovery services for individuals transitioning from inpatient addiction treatment. Billed per calendar day.
RVU Information
CPT H2034 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 H2034?
CPT H2034 (A/d halfway house, per diem) is a Other HCPCS code. Alcohol and drug halfway house service provided on a per diem basis, including residential treatment and recovery support.
Does Medicare cover H2034?
Medicare coverage for H2034 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Residential facility providing structured environment, peer support, and recovery services for individuals transitioning from inpatient addiction treatment. Billed per calendar day. A physician order is typically required.
When is CPT H2034 used?
Residential facility providing structured environment, peer support, and recovery services for individuals transitioning from inpatient addiction treatment. Billed per calendar day.
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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.