Question 1

What is HCPCS code H0028?

Accepted Answer

HCPCS code H0028 is "Alcohol and/or drug preventi". Alcohol and/or drug prevention problem identification and referral service (e.g., student assistance and employee assistance programs), does not include assessment

Question 2

What category is H0028 in?

Accepted Answer

H0028 belongs to HCPCS Category H (Alcohol and Drug Abuse Treatment).

Question 3

When should I use HCPCS code H0028?

Accepted Answer

Use H0028 when billing for alcohol and/or drug preventi. 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 H0028 covered by Medicare?

Accepted Answer

Coverage for H0028 (Alcohol and/or drug preventi) 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 H0028?

Accepted Answer

Documentation for H0028 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).