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See a sample rate comparisonHCPCS H0031 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.
Mental health assessment, by non-physician
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol and Drug Abuse Treatment Mental Health Programs and Medication Administration Training |
| Common Place of Service | 11 - Office 53 - Community Mental Health Center None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for H0031 |
National average reimbursement for HCPCS H0031 by major payers:
$122.21
$126.29
$45.09
$329.07
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HCPCS H0031
5 of 25 sample ratesHigher to lower in this preview
Karen Pentz
Main Line Hospitals Inc
$180.38Published ratePromise Center For Autism, LLC
Promise Center For Autism LLC
$85.75Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$30.73Published rateAmerican Current Care P.A., Concentra Urgent Care
$30.72Published rateAdapt Programs, LLC
$21.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS H0031 vs. Other Mental Health Programs and Medication Administration Training Codes
The HCPCS H0031 code is part of the Alcohol and Drug Abuse Treatment services used for Mental Health Programs and Medication Administration Training. 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 H0031 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 |
|---|---|---|
| H0030-HCPCS | Moderate | Behavioral health hotline service |
| H0031-HCPCS | Low | Mental health assessment, by non-physician |
| H0032-HCPCS | Low | Mental health service plan development by non-physician |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H0031. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0031 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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