H0053 HCPCS code: Historical trauma (ht) mental health and clinical care for indigenous persons
H0053 is the HCPCS Level II code for historical trauma (ht) mental health and clinical care for indigenous persons. Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies. The NCCI unit limit is 1 per day on outpatient hospital claims.
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 | 2025-01-01 |
| Last action effective | 2025-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Nature of Service/Procedure |
| practitioner claims | 1 | Nature of Service/Procedure |
What changed for H0053
- 2025-01-01: H0053 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 H0053?
H0053 is the HCPCS Level II code for historical trauma (ht) mental health and clinical care for indigenous persons. Short descriptor: "Ht mental health and care".
Does Medicare cover H0053?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
How many units of H0053 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
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 H0053
- Watch H0053 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for H0053
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.