HCPCS H0047 Fee Schedule
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.
| 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 |
National average reimbursement for HCPCS H0047 by major payers:
$443.83
$1,548.53
$124.50
$21.00
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS H0047 | ||||||
United | H0047 | $1557.02 | 1093385684 - CHANGE MY LIFE COUNSELING LLC | 871408734 - (TX) CHANGE MY LIFE COUNSELING LLC | TX | Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X) |
United | H0047 | $1557.02 | 1730823378 - LARESSA DENT | 880571883 | TX | Community/Behavioral Health Agency (251S00000X) |
United | H0047 | $1557.02 | 1326015595 - CLARITY CHILD GUIDANCE CENTER, CLARITY CHILD GUIDANCE CENTER | 741153067 - (TX) CLARITY CHILD GUIDANCE CENTER | TX | Psychiatric Hospital (283Q00000X) |
United | H0047 | $1557.02 | 1164745550 - CENIKOR FOUNDATION | 760031861 - CENIKOR FOUNDATION | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
United | H0047 | $40.00 | 1033563515 - REHABCARE GROUP EAST, LLC, REHABCARE | 431802466 | TX | Rehabilitation Clinic/Center (261QR0400X) |
United | H0047 | $1557.02 | 1295069573 - JAHI ANDERSON | 261241552 - (TX) ALLEN SPEECH AND PSYCHOLOGICAL SERVICES PC | TX | Psychiatric Hospital (283Q00000X) |
United | H0047 | $1557.02 | 1801205810 - BILLY T. CATTAN RECOVERY OUTREACH, INC. | 742961798 - (TX) BILLY T CATTAN RECOVERY OUTREACH INC | TX | Community/Behavioral Health Agency (251S00000X) |
United | H0047 | $1272.00 | 1063500270 - CROSBYTON CLINIC HOSPITAL | 750711276 - (TX) CROSBYTON CLINIC HOSPITAL | TX | Rural Acute Care Hospital (282NR1301X) |
United | H0047 | $1557.02 | 1427659853 - TAMIKA RUSSELL | 853571720 - (TX) POSITIVE CHANGES COUNSELING AND CONSULTING PLLC | TX | Community/Behavioral Health Agency (251S00000X) |
United | H0047 | $1557.02 | 1295069573 - JAHI ANDERSON | 261241552 - (TX) ALLEN SPEECH AND PSYCHOLOGICAL SERVICES PC | TX | Psychiatric Hospital (283Q00000X) |
United | H0047 | $1557.02 | 1164745550 - CENIKOR FOUNDATION | 760031861 - CENIKOR FOUNDATION | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
United | H0047 | $1557.02 | 1366033912 - BASEPOINT PSYCHIATRY, PLLC | 854205504 - (TX) BASEPOINT PSYCHIATRY PLLC | TX | Psychiatry Physician (2084P0800X) |
United | H0047 | $25.38 | 1215244165 - PURA VIDA COUNSELING SERVICES PLLC | 273038414 - (TX) PURA VIDA COUNSELING SERVICES PLLC | TX | Community/Behavioral Health Agency (251S00000X) |
United | H0047 | $1557.02 | 1598843823 - BENIGNO FERNANDEZ | 870729270 | TX | Psychiatric Hospital Unit (273R00000X) |
United | H0047 | $1557.02 | 1295069573 - JAHI ANDERSON | 384010612 | TX | Psychiatric Hospital (283Q00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS 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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