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See a sample rate comparisonHCPCS H0049 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 drug screening
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol and Drug Abuse Treatment Miscellaneous Drug and Alcohol Services |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center None |
| Complexity Level | Low |
| ASAM Level | Level 0.5 - Early Intervention |
| Care Type | Screening |
| Setting | Outpatient |
| Medicaid Fee Schedule | View Medicaid rates for H0049 |
National average reimbursement for HCPCS H0049 by major payers:
$63.99
$17.50
$0.94
$13.30
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HCPCS H0049
5 of 14 sample ratesHigher to lower in this preview
Crosbyton Clinic Hospital
$1,272.00Published ratePremise Health Of Texas Medical, P.A, Ross Avenue Health Center
$25.00Published rateSamaritan Center For Counseling And Pastoral Care, Inc.
Samaritan Center For Counseling And Pastoral Care Inc
$12.69Published rateFamily Service Center At Houston And Harris County, Family Services Of Greater Houston
Family Service Center At Houston And Harris County
$12.69Published rateThe Center For Integrative Counseling And Psychology, Pastoral Counseling And Education Center
The Center For Integrative Counseling And Psychology
$12.69Published rate
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See a sample payer proposalHCPCS H0049 vs. Other Miscellaneous Drug and Alcohol Services Codes
The HCPCS H0049 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 H0049 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 |
|---|---|---|
| H0048-HCPCS | Low | Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
| H0049-HCPCS | Low | Alcohol and/or drug screening |
| H0050-HCPCS | Low | Alcohol and/or drug services, brief intervention, 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 H0049. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0049 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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