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See a sample rate comparisonHCPCS H0015 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; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol and Drug Abuse Treatment Drug, Alcohol, and Behavioral Health Services |
| Common Place of Service | None 11 - Office 57 - Non-residential Substance Abuse Treatment Facility |
| Complexity Level | Low |
| ASAM Level | Level 2.1 - Intensive Outpatient (IOP) |
| Care Type | Treatment |
| Setting | Outpatient |
| Revenue Code | |
| Medicaid Fee Schedule | View Medicaid rates for H0015 |
National average reimbursement for HCPCS H0015 by major payers:
$191.85
$70.00
$134.33
$81.79
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HCPCS H0015
5 of 25 sample ratesHigher to lower in this preview
Jeffrey Baker
Camelot Community Care Inc
$90.00Published rateCore Training Services LLC, Grow The Vine Speech & Wellness Gym
Core Training Services LLC
$55.00Published rateA Milestone Therapy Services, Inc.
A Milestone Therapy Services Inc
$55.00Published ratePreferred Physical Therapy Associates
$35.00Published rateMeraki Wellness & Healing Inc.
Meraki Wellness Healing Inc
$35.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS H0015 vs. Other Drug, Alcohol, and Behavioral Health Services Codes
The HCPCS H0015 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 H0015 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 |
|---|---|---|
| H0014-HCPCS | Low | Alcohol and/or drug services; ambulatory detoxification |
| H0015-HCPCS | Low | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
| H0016-HCPCS | Low | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H0015. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0015 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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