Question 1

What is HCPCS code H2021?

Accepted Answer

HCPCS code H2021 is "Com wrap-around sv, 15 min". Community-based wrap-around services, per 15 minutes

Question 2

What category is H2021 in?

Accepted Answer

H2021 belongs to HCPCS Category H (Alcohol and Drug Abuse Treatment).

Question 3

When should I use HCPCS code H2021?

Accepted Answer

Use H2021 when billing for com wrap-around sv, 15 min. 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 H2021 covered by Medicare?

Accepted Answer

Coverage for H2021 (Com wrap-around sv, 15 min) 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 H2021?

Accepted Answer

Documentation for H2021 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).