H0016 HCPCS code: Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)
H0016 is the HCPCS Level II code for alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting). Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies.
Code details
| Field | Value |
|---|---|
| Section | H codes — Alcohol and drug abuse treatment services |
| Coverage code | I — Not payable by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2001-01-01 |
| Last action effective | 2001-01-01 |
What changed for H0016
- 2001-01-01: H0016 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code H0016?
H0016 is the HCPCS Level II code for alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting). Short descriptor: "Alcohol and/or drug services".
Does Medicare cover H0016?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related H00 codes
- H0001 — Alcohol and/or drug assessment
- H0002 — Behavioral health screening to determine eligibility for admission to treatment program
- H0003 — Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs
- H0004 — Behavioral health counseling and therapy, per 15 minutes
- H0005 — Alcohol and/or drug services; group counseling by a clinician
- H0006 — Alcohol and/or drug services; case management
- H0007 — Alcohol and/or drug services; crisis intervention (outpatient)
- H0008 — Alcohol and/or drug services; sub-acute detoxification (hospital inpatient)
- H0009 — Alcohol and/or drug services; acute detoxification (hospital inpatient)
- H0010 — Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)
- H0011 — Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)
- H0012 — Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient)
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Next steps
- Run a reimbursement report for a device billed under H0016
- Watch H0016 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for H0016
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.