H2035 A/d treatment program, per hour
Also known as: addiction treatment, substance abuse program, A/D treatment
Alcohol and drug treatment program service provided per hour, including therapy, counseling, and group sessions.
In Plain Language
treatment for drug and alcohol problems; addiction counseling program
Clinical Context
Outpatient or intensive day treatment for substance use disorders. Includes individual counseling, group therapy, and psychoeducation. Billed per hour.
RVU Information
CPT H2035 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 H2035?
CPT H2035 (A/d treatment program, per hour) is a Other HCPCS code. Alcohol and drug treatment program service provided per hour, including therapy, counseling, and group sessions.
Does Medicare cover H2035?
Medicare coverage for H2035 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Outpatient or intensive day treatment for substance use disorders. Includes individual counseling, group therapy, and psychoeducation. Billed per hour. A physician order is typically required.
When is CPT H2035 used?
Outpatient or intensive day treatment for substance use disorders. Includes individual counseling, group therapy, and psychoeducation. Billed per hour.
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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.