HCPCS H0033 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 • Mental Health Programs and Medication Administration Training |
| Common Place of Service | • 11 - Office • 53 - Community Mental Health Center • 57 - Non-residential Substance Abuse Treatment Facility |
| Complexity Level | Low |
National average reimbursement for HCPCS H0033 by major payers:

$45.53

$291.40

$25.40

$40.19
| 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 H0033 | ||||||
United | H0033 | $38.54 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | H0033 | $289.98 | 1649399452 - GAIL JOHNSON | 464534404 - (TX) OPGT INC | TX | Psychiatric Hospital (283Q00000X) |
United | H0033 | $289.98 | 1295069573 - JAHI ANDERSON | 261241552 - (TX) ALLEN SPEECH AND PSYCHOLOGICAL SERVICES PC | TX | Psychiatric Hospital (283Q00000X) |
United | H0033 | $289.98 | 1295404507 - MINDFUL HEALTH OF TEXAS, PA | 871423299 - (TX) MINDFUL HEALTH OF TEXAS PA | TX | Multi-Specialty Clinic/Center (261QM1300X) |
United | H0033 | $289.98 | 1710411665 - LEI BEHAVIORAL SERVICES LLC | 463386595 - LEI BEHAVIORAL SERVICES LLC | TX | Community/Behavioral Health Agency (251S00000X) |
United | H0033 | $289.98 | 1326488073 - PREVAIL COUNSELING & FORENSIC MENTAL HEALTH CONSULTING, P.C., PREVAIL BEHAVIORAL HEALTH & WELLNESS CENTER | 462057056 - (TX) PREVAIL COUNSELING FORENSIC MENTAL HEALTH CONSULTING PC | TX | Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X) |
United | H0033 | $289.98 | 1437280534 - WEST TEXAS COUNSELLING AND REHABILITATION PROGRAM OF SAN ANGELO, INC., WTCR SAN ANGELO, INC. | 752197137 - (TX) WEST TEXAS COUNSELLING AND REHABILITATION PROGRAM OF SAN ANGELO INC | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
United | H0033 | $38.54 | 1821287525 - AMERICAN CURRENT CARE P.A., CONCENTRA URGENT CARE | 205805198 | TX | Clinic/Center (261Q00000X) |
United | H0033 | $284.32 | 1942854583 - MAVA HEALTHCARE SYSTEM LLC | 842143476 - (TX) MAVA HEALTHCARE SYSTEM LLC | TX | Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X) |
United | H0033 | $289.98 | 1033649926 - RECOVERY UNPLUGGED ENCORE, LLC | 814574876 - RECOVERY UNPLUGGED ENCORE LLC | TX | Substance Abuse Rehabilitation Facility (324500000X) |
United | H0033 | $289.98 | 1295069573 - JAHI ANDERSON | 920891807 - (TX) DREAM WORK IC PLLC | TX | Psychiatric Hospital (283Q00000X) |
United | H0033 | $289.98 | 1790879617 - PRESBYTERIAN CHILDREN'S HOMES AND SERVICES, PRESBYTERIAN CHILDREN'S SERVICES, INC | 750818172 - (TX) PRESBYTERIAN CHILDRENS HOMES AND SERVICES | TX | Community/Behavioral Health Agency (251S00000X) |
United | H0033 | $289.98 | 1700393972 - NUHOPE SA RECOVERY LLC | 471017468 - (TX) ADAM BRUGGEMAN MD PLLC | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
United | H0033 | $289.98 | 1730142944 - VISHNU CHALLAPALLI | 812957197 - (TX) BEHAVIORAL HEALTH SPECIALISTS | TX | Psychiatric Hospital Unit (273R00000X) |
United | H0033 | $289.98 | 1366740813 - AUSTIN TRAVIS COUNTY MHMR CENTER, AUSTIN TRAVIS COUNTY INTEGRAL CARE | 852938829 | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
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 H0033 vs. Other Mental Health Programs and Medication Administration Training Codes
The HCPCS H0033 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 H0033 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 |
|---|---|---|
| H0032-HCPCS | Low | Mental health service plan development by non-physician |
| H0033-HCPCS | Low | Oral medication administration, direct observation |
| H0034-HCPCS | Low | Medication training and support, per 15 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H0033. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0033 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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