H2036 A/d treatment program, per diem
Also known as: addiction treatment, substance abuse program, A/D treatment
Alcohol and drug treatment program service provided on a per diem basis, including daily comprehensive addiction treatment.
In Plain Language
daily treatment for addiction; per-day substance abuse services
Clinical Context
Day treatment or intensive outpatient program for substance use disorders. Includes counseling, group therapy, and supportive services. Billed per calendar day.
RVU Information
CPT H2036 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 H2036?
CPT H2036 (A/d treatment program, per diem) is a Other HCPCS code. Alcohol and drug treatment program service provided on a per diem basis, including daily comprehensive addiction treatment.
Does Medicare cover H2036?
Medicare coverage for H2036 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Day treatment or intensive outpatient program for substance use disorders. Includes counseling, group therapy, and supportive services. Billed per calendar day. A physician order is typically required.
When is CPT H2036 used?
Day treatment or intensive outpatient program for substance use disorders. Includes counseling, group therapy, and supportive services. 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.