HCPCS H0029 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 | • 11 - Office • 50 - Federally Qualified Health Center |
| Complexity Level | Low |
National average reimbursement for HCPCS H0029 by major payers:
$64.36
$51.00
$143.00
$107.75
| 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 H0029 | ||||||
United | H0029 | $55.00 | 1033563515 - REHABCARE GROUP EAST, LLC, REHABCARE | 431802466 | TX | Rehabilitation Clinic/Center (261QR0400X) |
United | H0029 | $35.00 | 1033563515 - REHABCARE GROUP EAST, LLC, REHABCARE | 431802466 | TX | Rehabilitation Clinic/Center (261QR0400X) |
United | H0029 | $60.00 | 1033563515 - REHABCARE GROUP EAST, LLC, REHABCARE | 431802466 | TX | Rehabilitation Clinic/Center (261QR0400X) |
United | H0029 | $40.00 | 1033563515 - REHABCARE GROUP EAST, LLC, REHABCARE | 431802466 | TX | Rehabilitation Clinic/Center (261QR0400X) |
United | H0029 | $35.00 | 1033563515 - REHABCARE GROUP EAST, LLC, REHABCARE | 431802466 | TX | Rehabilitation Clinic/Center (261QR0400X) |
United | H0029 | $55.00 | 1033563515 - REHABCARE GROUP EAST, LLC, REHABCARE | 431802466 | TX | Rehabilitation Clinic/Center (261QR0400X) |
United | H0029 | $40.00 | 1033563515 - REHABCARE GROUP EAST, LLC, REHABCARE | 431802466 | TX | Rehabilitation Clinic/Center (261QR0400X) |
United | H0029 | $1272.00 | 1063500270 - CROSBYTON CLINIC HOSPITAL | 750711276 - (TX) CROSBYTON CLINIC HOSPITAL | TX | Rural Acute Care Hospital (282NR1301X) |
United | H0029 | $60.00 | 1033563515 - REHABCARE GROUP EAST, LLC, REHABCARE | 431802466 | TX | Rehabilitation Clinic/Center (261QR0400X) |
United | H0029 | $1272.00 | 1063500270 - CROSBYTON CLINIC HOSPITAL | 750711276 - (TX) CROSBYTON CLINIC HOSPITAL | TX | Rural Acute Care Hospital (282NR1301X) |
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 H0029 vs. Other Drug, Alcohol, and Behavioral Health Services Codes
The HCPCS H0029 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 H0029 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 |
|---|---|---|
| H0028-HCPCS | Low | Alcohol and/or drug prevention problem identification and referral service (e.g., student assistance and employee assistance programs), does not include assessment |
| H0029-HCPCS | Low | Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e.g. alcohol free social events) |
| H0030-HCPCS | Moderate | Behavioral health hotline service |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H0029. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0029 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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