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See a sample rate comparisonHCPCS H0025 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.
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol and Drug Abuse Treatment Drug, Alcohol, and Behavioral Health Services |
| Common Place of Service | 53 - Community Mental Health Center 11 - Office None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for H0025 |
National average reimbursement for HCPCS H0025 by major payers:
$55.38
$41.77
$89.87
$5.89
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HCPCS H0025
5 of 12 sample ratesHigher to lower in this preview
Crosbyton Clinic Hospital
$1,272.00Published rateRehabcare Group East, LLC, Rehabcare
$60.00Published rateRehabcare Group East, LLC, Rehabcare
$40.00Published rateRehabcare Group East, LLC, Rehabcare
$35.00Published ratePremise Health Of Texas Medical, P.A, Ross Avenue Health Center
$34.00Published rate
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See a sample payer proposalHCPCS H0025 vs. Other Drug, Alcohol, and Behavioral Health Services Codes
The HCPCS H0025 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 H0025 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 |
|---|---|---|
| H0024-HCPCS | Low | Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) |
| H0025-HCPCS | Low | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
| H0026-HCPCS | Low | Alcohol and/or drug prevention process service, community-based (delivery of services to develop skills of impactors) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H0025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0025 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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