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See a sample rate comparisonHCPCS H0040 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.
Assertive community 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 | 53 - Community Mental Health Center 11 - Office 15 - Mobile Unit |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for H0040 |
National average reimbursement for HCPCS H0040 by major payers:
$132.36
$967.01
$103.22
$274.97
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HCPCS H0040
5 of 25 sample ratesHigher to lower in this preview
Crosbyton Clinic Hospital
$1,272.00Published rateRayl Enterprises, Grace Counseling Center
Rayl Enterprises
$969.57Published rateGreater Houston Psychiatric Associates, PLLC
Greater Houston Psychiatric Associates, P.L.L.C.
$969.57Published rateJahi Anderson
$969.57Published rateRehabcare Group East, LLC, Rehabcare
$40.00Published rate
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See a sample payer proposalHCPCS H0040 vs. Other Mental Health Programs and Medication Administration Training Codes
The HCPCS H0040 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 H0040 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 |
|---|---|---|
| H0039-HCPCS | Low | Assertive community treatment, face-to-face, per 15 minutes |
| H0040-HCPCS | Low | Assertive community treatment program, per diem |
| H0041-HCPCS | Low | Foster care, child, non-therapeutic, per diem |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H0040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0040 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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