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See a sample rate comparisonHCPCS H0052 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.
Missing and murdered indigenous persons (mmip) mental health and clinical care
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol and Drug Abuse Treatment Mental Health programs for Indigenous People |
| Complexity Level | Low |
National average reimbursement for HCPCS H0052 by major payers:
$29.56
$N/A
$N/A
$0.00
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HCPCS H0052
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See a sample payer proposalHCPCS H0052 vs. Other Mental Health programs for Indigenous People Codes
The HCPCS H0052 code is part of the Alcohol and Drug Abuse Treatment services used for Mental Health programs for Indigenous People. 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 H0052 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 |
|---|---|---|
| H0052-HCPCS | Low | Missing and murdered indigenous persons (mmip) mental health and clinical care |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H0052. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H0052 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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