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See a sample rate comparisonHCPCS H0035 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 partial hospitalization, treatment, less than 24 hours
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol and Drug Abuse Treatment Mental Health Programs and Medication Administration Training |
| Common Place of Service | None 52 - Psychiatric Facility-Partial Hospitalization 53 - Community Mental Health Center |
| Complexity Level | Low |
| ASAM Level | Level 2.5 - Partial Hospitalization (PHP) |
| Care Type | Treatment |
| Setting | Outpatient |
| Revenue Code | |
| Medicaid Fee Schedule | View Medicaid rates for H0035 |
National average reimbursement for HCPCS H0035 by major payers:
$82.34
$270.43
$253.35
$504.33
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HCPCS H0035
5 of 25 sample ratesHigher to lower in this preview
Cora Health Services, Inc., Cora Physical Therapy - Grand Traverse
Cora Health Services, Inc.
$60.00Published rateCreating Bridges Therapy
$55.00Published rateCora Health Services Inc, Cora Physical Therapy - Bloomingdale
Cora Health Services, Inc.
$40.00Published rateCora Health Services Inc, Cora Physical Therapy - St. Cloud
Cora Health Services, Inc.
$40.00Published rateThe Lighthouse Project, LLC
The Lighthouse Project LLC
$35.00Published rate
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See a sample payer proposalHCPCS H0035 vs. Other Mental Health Programs and Medication Administration Training Codes
The HCPCS H0035 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 H0035 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 |
|---|---|---|
| H0034-HCPCS | Low | Medication training and support, per 15 minutes |
| H0035-HCPCS | Low | Mental health partial hospitalization, treatment, less than 24 hours |
| H0036-HCPCS | Low | Community psychiatric supportive treatment, face-to-face, 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 H0035. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0035 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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