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See a sample rate comparisonHCPCS H2019 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.
Therapeutic behavioral services, per 15 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Alcohol and Drug Abuse Treatment Other Mental Health and Community Support Services |
| Common Place of Service | None 11 - Office 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for H2019 |
National average reimbursement for HCPCS H2019 by major payers:
$30.71
$16.89
$14.13
$12.59
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HCPCS H2019
5 of 25 sample ratesHigher to lower in this preview
Crosbyton Clinic Hospital
$1,272.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$32.33Published rateAmerican Current Care P.A., Concentra Urgent Care
$32.33Published rateTms Neurohealth Texas PLLC, Greenbrook Tms
Tms Neurohealth Texas PLLC
$15.00Published rateMedmark Treatment Centers Of Texas, Inc., Medmark Treatment Centers Fort Worth
Medmark Treatment Centers Of Texas Inc
$12.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS H2019 vs. Other Other Mental Health and Community Support Services Codes
The HCPCS H2019 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 H2019 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 |
|---|---|---|
| H2018-HCPCS | Low | Psychosocial rehabilitation services, per diem |
| H2019-HCPCS | Low | Therapeutic behavioral services, per 15 minutes |
| H2020-HCPCS | Low | Therapeutic behavioral services, 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 H2019. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the H2019 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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