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See a sample rate comparisonHCPCS H0047 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.
Alcohol and/or other drug abuse services, not otherwise specified
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol and Drug Abuse Treatment Miscellaneous Drug and Alcohol Services |
| Common Place of Service | 11 - Office None |
| Complexity Level | Moderate |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Treatment |
| Setting | Outpatient |
National average reimbursement for HCPCS H0047 by major payers:
$443.83
$1,548.53
$124.50
$21.00
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HCPCS H0047
5 of 25 sample ratesHigher to lower in this preview
Change My Life Counseling LLC
$1,557.02Published rateTamika Russell
Positive Changes Counseling And Consulting PLLC
$1,557.02Published rateRecovery Unplugged Encore, LLC
Recovery Unplugged Encore LLC
$1,557.02Published rateLei Behavioral Services LLC
$1,557.02Published ratePura Vida Counseling Services PLLC
$25.38Published rate
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See a sample payer proposalHCPCS H0047 vs. Other Miscellaneous Drug and Alcohol Services Codes
The HCPCS H0047 code is part of the Alcohol and Drug Abuse Treatment services used for Miscellaneous Drug and Alcohol Services. 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 H0047 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 |
|---|---|---|
| H0046-HCPCS | Moderate | Mental health services, not otherwise specified |
| H0047-HCPCS | Moderate | Alcohol and/or other drug abuse services, not otherwise specified |
| H0048-HCPCS | Low | Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H0047. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0047 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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