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See a sample rate comparisonHCPCS H0007 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Alcohol and/or drug services; crisis intervention (outpatient)
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol and Drug Abuse Treatment Drug, Alcohol, and Behavioral Health Services |
| Common Place of Service | 11 - Office 10 - Telehealth in Patient's Home 53 - Community Mental Health Center |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for H0007 |
National average reimbursement for HCPCS H0007 by major payers:
$68.21
$40.23
$11.68
$35.04
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HCPCS H0007
5 of 25 sample ratesHigher to lower in this preview
Genesis Health Development, Inc.
Genesis Health Development Inc
$60.00Published rateSolaris Rehab, LLC
$55.00Published rateGenesis Health Development Inc
$40.00Published rateCora Health Services, Inc.
$35.00Published rateCora Health Services Inc
Cora Health Services, Inc.
$35.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS H0007 vs. Other Drug, Alcohol, and Behavioral Health Services Codes
The HCPCS H0007 code is part of the Alcohol and Drug Abuse Treatment services used for Drug, Alcohol, and Behavioral Health Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS H0007 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| H0006-HCPCS | Moderate | Alcohol and/or drug services; case management |
| H0007-HCPCS | Low | Alcohol and/or drug services; crisis intervention (outpatient) |
| H0008-HCPCS | Low | Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H0007. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0007 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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