H1011 HCPCS code: Family assessment by licensed behavioral health professional for state defined purposes
H1011 is the HCPCS Level II code for family assessment by licensed behavioral health professional for state defined purposes. 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 | 2003-01-01 |
| Last action effective | 2003-01-01 |
What changed for H1011
- 2003-01-01: H1011 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 H1011?
H1011 is the HCPCS Level II code for family assessment by licensed behavioral health professional for state defined purposes. Short descriptor: "Family assessment".
Does Medicare cover H1011?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related H10 codes
- H1000 — Prenatal care, at-risk assessment
- H1001 — Prenatal care, at-risk enhanced service; antepartum management
- H1002 — Prenatal care, at risk enhanced service; care coordination
- H1003 — Prenatal care, at-risk enhanced service; education
- H1004 — Prenatal care, at-risk enhanced service; follow-up home visit
- H1005 — Prenatal care, at-risk enhanced service package (includes h1001-h1004)
- H1010 — Non-medical family planning education, per session
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Next steps
- Run a reimbursement report for a device billed under H1011
- Watch H1011 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for H1011
Sources: CMS HCPCS Level II release October 2026; 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.