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See a sample rate comparisonHealthcare 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 |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Medication Assisted Treatment |
| Setting | Outpatient |
| Medicaid Fee Schedule | View Medicaid rates for H0033 |
National average reimbursement for HCPCS H0033 by major payers:

$45.53

$291.40

$25.40

$40.19
Choose a payer to see a sample of rates for HCPCS H0033.
West Texas Counselling And Rehabilitation Program Of San Angelo Inc
Behavioral Health Specialists
Austin-Travis County Mental Health And Mental Retardation Center
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalHCPCS 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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