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See a sample rate comparisonHCPCS H2012 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.
Behavioral health day treatment, per hour
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol and Drug Abuse Treatment Other Mental Health and Community Support Services |
| Common Place of Service | 11 - Office None 53 - Community Mental Health Center |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for H2012 |
National average reimbursement for HCPCS H2012 by major payers:
$53.01
$66.91
$36.30
$50.68
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HCPCS H2012
5 of 25 sample ratesHigher to lower in this preview
Ramesh Ghanta
Psychological & Behavioral Consultants
$92.59Published rateRamesh Ghanta
Psychological & Behavioral Consultants
$92.59Published rateMelissa Jones
Compass Health Inc
$60.00Published rateChristina Dellanebbia Phd Inc, Christina Dellnebbia, Phd
Christina Dellanebbia Phd Inc
$60.00Published rateMentally Ill Kids In Distress, Mikid
M I K I D Mentally Ill Kids In Distress
$10.40Published rate
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See a sample payer proposalHCPCS H2012 vs. Other Other Mental Health and Community Support Services Codes
The HCPCS H2012 code is part of the Alcohol and Drug Abuse Treatment services used for Other Mental Health and Community Support 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 H2012 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 |
|---|---|---|
| H2011-HCPCS | Low | Crisis intervention service, per 15 minutes |
| H2012-HCPCS | Low | Behavioral health day treatment, per hour |
| H2013-HCPCS | Low | Psychiatric health facility service, per diem |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS H2012. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H2012 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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