HCPCS Level II

HCPCS Level II is the US standard for non-physician products, supplies, and services. Medera’s BH calibration covers the H- and S-codes that BH practices use most.

BH-specific HCPCS subset

Assessment + intervention

Code	Description
`H0001`	Alcohol and / or drug assessment
`H0004`	BH counseling and therapy, per 15 min
`H0031`	Mental health assessment, by non-physician
`H0036`	Community psychiatric supportive treatment, per 15 min
`H2011`	Crisis intervention service, per 15 min
`H2015`	Comprehensive community support services, per 15 min
`H2017`	Psychosocial rehabilitation services, per 15 min
`H2019`	Therapeutic behavioral services, per 15 min

Intensive programs

Code	Description
`S0201`	Partial hospitalization services (PHP)
`S9480`	Intensive outpatient psychiatric services (IOP)

Peer support

Code	Description
`H0038`	Self-help / peer services, per 15 min
`H0046`	Mental health services, NOS

Use case

The Medical Coding Agent surfaces HCPCS when the note documents IOP / PHP / peer support — services CPT doesn’t cover well. PA detection is enabled on H- and S-codes for the configured payers.

What’s next

CPT

Psychotherapy + E/M.

ICD-10-CM

F-code diagnosis.

Revenue cycle

Sweeps + audits.

Prior Authorization

PA detection.

Overview

Code Systems

HCPCS Level II

BH-specific HCPCS subset

Assessment + intervention

Intensive programs

Peer support

Use case

What’s next

CPT

ICD-10-CM

Revenue cycle

Prior Authorization

​BH-specific HCPCS subset

​Assessment + intervention

​Intensive programs

​Peer support

​Use case

​What’s next

CPT

ICD-10-CM

Revenue cycle

Prior Authorization

BH-specific HCPCS subset

Assessment + intervention

Intensive programs

Peer support

Use case

What’s next