HCPCS H0050 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 • 50 - Federally Qualified Health Center • None |
| Complexity Level | Low |
National average reimbursement for HCPCS H0050 by major payers:
$52.93
$40.38
$30.40
$38.04
| 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 H0050 | ||||||
United | H0050 | $1272.00 | 1063500270 - CROSBYTON CLINIC HOSPITAL | 750711276 - (TX) CROSBYTON CLINIC HOSPITAL | TX | Rural Acute Care Hospital (282NR1301X) |
United | H0050 | $26.65 | 1346522398 - ADAPT PROGRAMS, LLC | 264590984 | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
United | H0050 | $26.93 | 1215244165 - PURA VIDA COUNSELING SERVICES PLLC | 273038414 - (TX) PURA VIDA COUNSELING SERVICES PLLC | TX | Community/Behavioral Health Agency (251S00000X) |
United | H0050 | $26.65 | 1285791798 - HILL COUNTRY COUNCIL ON ALCOHOL AND DRUG ABUSE, INC. | 742607737 - (TX) HILL COUNTRY COUNCIL ON ALCOHOL AND DRUG ABUSE INC | TX | Community/Behavioral Health Agency (251S00000X) |
United | H0050 | $26.65 | 1538605258 - ADAPT PROGRAMS, LLC | 264590984 | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
United | H0050 | $26.65 | 1134503147 - ADAPT PROGRAMS, LLC | 264590984 | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
United | H0050 | $26.65 | 1962624460 - CENTER FOR SUCCESS AND INDEPENDENCE, INC. | 760604033 - (TX) CENTER FOR SUCCESS AND INDEPENDENCE INC | TX | Children's Substance Abuse Rehabilitation Facility (3245S0500X) |
United | H0050 | $26.65 | 1346522398 - ADAPT PROGRAMS, LLC | 264590984 | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
United | H0050 | $26.65 | 1821532094 - ADAPT PROGRAMS, LLC | 264590984 | TX | Clinic/Center (261Q00000X) |
United | H0050 | $26.65 | 1285791798 - HILL COUNTRY COUNCIL ON ALCOHOL AND DRUG ABUSE, INC. | 742607737 - (TX) HILL COUNTRY COUNCIL ON ALCOHOL AND DRUG ABUSE INC | TX | Community/Behavioral Health Agency (251S00000X) |
United | H0050 | $26.65 | 1609199348 - ADAPT PROGRAMS, LLC | 264590984 | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
United | H0050 | $25.00 | 1154833317 - PREMISE HEALTH OF TEXAS MEDICAL, P.A, ROSS AVENUE HEALTH CENTER | 752806777 | TX | Multi-Specialty Clinic/Center (261QM1300X) |
United | H0050 | $26.65 | 1346676285 - ADAPT PROGRAMS, LLC | 264590984 | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
United | H0050 | $1272.00 | 1063500270 - CROSBYTON CLINIC HOSPITAL | 750711276 - (TX) CROSBYTON CLINIC HOSPITAL | TX | Rural Acute Care Hospital (282NR1301X) |
United | H0050 | $26.65 | 1538605258 - ADAPT PROGRAMS, LLC | 264590984 | TX | Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X) |
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 H0050 vs. Other Miscellaneous Drug and Alcohol Services Codes
The HCPCS H0050 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 H0050 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 |
|---|---|---|
| H0049-HCPCS | Low | Alcohol and/or drug screening |
| H0050-HCPCS | Low | Alcohol and/or drug services, brief intervention, per 15 minutes |
| H1000-HCPCS | Moderate | Prenatal care, at-risk assessment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H0050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0050 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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