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See a sample rate comparisonHCPCS H0037 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.
Community psychiatric supportive treatment program, per diem
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol and Drug Abuse Treatment Mental Health Programs and Medication Administration Training |
| Common Place of Service | None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for H0037 |
National average reimbursement for HCPCS H0037 by major payers:
$69.60
$74.95
$102.69
$383.57
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HCPCS H0037
5 of 25 sample ratesHigher to lower in this preview
Mava Healthcare System LLC
$492.45Published rateVishnu Challapalli
Behavioral Health Specialists
$57.09Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Lone Star Circle Of Care
$57.09Published rateAustin Bridges Therapy
$57.09Published rateRehabcare Group East, LLC, Rehabcare
$35.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS H0037 vs. Other Mental Health Programs and Medication Administration Training Codes
The HCPCS H0037 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 H0037 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 |
|---|---|---|
| H0036-HCPCS | Low | Community psychiatric supportive treatment, face-to-face, per 15 minutes |
| H0037-HCPCS | Low | Community psychiatric supportive treatment program, per diem |
| H0038-HCPCS | Low | Self-help/peer services, 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 H0037. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0037 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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