Question 1

What is HCPCS code H0015?

Accepted Answer

HCPCS code H0015 is "Alcohol and/or drug services". Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education

Question 2

What category is H0015 in?

Accepted Answer

H0015 belongs to HCPCS Category H (Alcohol and Drug Abuse Treatment).

Question 3

When should I use HCPCS code H0015?

Accepted Answer

Use H0015 when billing for alcohol and/or drug services. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is H0015 covered by Medicare?

Accepted Answer

Coverage for H0015 (Alcohol and/or drug services) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for H0015?

Accepted Answer

Documentation for H0015 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).