HCPCS H0017 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Alcohol and Drug Abuse Treatment • Drug, Alcohol, and Behavioral Health Services |
| Common Place of Service | • None • 99 - Other POS |
| Complexity Level | Low |
National average reimbursement for HCPCS H0017 by major payers:
$68.76
$51.00
$723.88
$248.41
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS H0017 | ||||||
United | H0017 | $35.00 | 1689229668 - RAMSAY WELLNESS CENTER, INC. | 463463896 - (FL) RAMSAY WELLNESS CENTER INC | FL | Clinic/Center (261Q00000X) |
United | H0017 | $60.00 | 1235165499 - CORA HEALTH SERVICES INC, CORA PHYSICAL THERAPY - EUSTIS | 341853567 - CORA HEALTH SERVICES, INC. | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | H0017 | $55.00 | 1184257602 - EMPOWERME REHABILITATION FLORIDA, LLC | 842804071 - (FL) EMPOWERME REHABILITATION FLORIDA LLC | FL | Multi-Specialty Clinic/Center (261QM1300X) |
United | H0017 | $40.00 | 1720019995 - NORTH SHORE MEDICAL CENTER, INC., NORTH SHORE MEDICAL CENTER | 752932824 | FL | General Acute Care Hospital (282N00000X) |
United | H0017 | $60.00 | 1699708891 - CORA HEALTH SERVICES INC, CORA PHYSICAL THERAPY - PALM BAY | 341853567 - CORA HEALTH SERVICES, INC. | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | H0017 | $35.00 | 1629833116 - PHYSICAL THERAPY NOW MIAMI GARDENS INC | 275018168 | FL | Clinic/Center (261Q00000X) |
United | H0017 | $40.00 | 1003849654 - CORA HEALTH SERVICES INC, CORA REHABILITATION CLINICS - WESTSIDE | 341853567 - CORA HEALTH SERVICES, INC. | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | H0017 | $55.00 | 1174633283 - CORA HEALTH SERVICES INC, CORA PHYSICAL THERAPY - EAST BOCA | 341853567 - CORA HEALTH SERVICES, INC. | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | H0017 | $40.00 | 1194859165 - CORA HEALTH SERVICES, INC., CORA PHYSICAL THERAPY - SODO | 341853567 - CORA HEALTH SERVICES, INC. | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | H0017 | $60.00 | 1811312473 - ENHANCED LIVING THERAPY, PLLC | 462989114 - (FL) ENHANCED LIVING THERAPY PLLC | FL | Clinic/Center (261Q00000X) |
United | H0017 | $60.00 | 1194859165 - CORA HEALTH SERVICES, INC., CORA PHYSICAL THERAPY - SODO | 341853567 - CORA HEALTH SERVICES, INC. | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | H0017 | $55.00 | 1205869492 - CORA HEALTH SERVICES INC, CORA PHYSICAL THERAPY - NEW TAMPA | 341853567 - CORA HEALTH SERVICES, INC. | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | H0017 | $35.00 | 1598189417 - SPEECH AND OCCUPATIONAL THERAPY INSTITUTE CORPORATION, MAGIC LEARNING CENTER | 464323757 - (FL) SPEECH AND OCCUPATIONAL THERAPY INSTITUTE CORPORATION | FL | Clinic/Center (261Q00000X) |
United | H0017 | $40.00 | 1124051776 - CORA HEALTH SERVICES INC, CORA PHYSICAL THERAPY - EAST PEMBROKE PINES | 341853567 - CORA HEALTH SERVICES, INC. | FL | Rehabilitation Clinic/Center (261QR0400X) |
United | H0017 | $55.00 | 1538566385 - BRIGHT THERAPY SERVICES INC, BRIGHT THERAPY SERVICES,INC. | 471852654 - (FL) BRIGHT THERAPY SERVICES INC | FL | Clinic/Center (261Q00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS H0017 vs. Other Drug, Alcohol, and Behavioral Health Services Codes
The HCPCS H0017 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 H0017 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 |
|---|---|---|
| H0016-HCPCS | Low | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
| H0017-HCPCS | Low | Behavioral health; residential (hospital residential treatment program), without room and board, per diem |
| H0018-HCPCS | Low | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H0017. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0017 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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