H2031 HCPCS code: Mental health clubhouse services, per diem
H2031 is the HCPCS Level II code for mental health clubhouse services, per diem. 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 | 2003-04-01 |
| Last action effective | 2003-04-01 |
What changed for H2031
- 2003-04-01: H2031 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 H2031?
H2031 is the HCPCS Level II code for mental health clubhouse services, per diem. Short descriptor: "Mh clubhouse svc, per diem".
Does Medicare cover H2031?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related H20 codes
- H2000 — Comprehensive multidisciplinary evaluation
- H2001 — Rehabilitation program, per 1/2 day
- H2010 — Comprehensive medication services, per 15 minutes
- H2011 — Crisis intervention service, per 15 minutes
- H2012 — Behavioral health day treatment, per hour
- H2013 — Psychiatric health facility service, per diem
- H2014 — Skills training and development, per 15 minutes
- H2015 — Comprehensive community support services, per 15 minutes
- H2016 — Comprehensive community support services, per diem
- H2017 — Psychosocial rehabilitation services, per 15 minutes
- H2018 — Psychosocial rehabilitation services, per diem
- H2019 — Therapeutic behavioral services, per 15 minutes
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Next steps
- Run a reimbursement report for a device billed under H2031
- Watch H2031 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for H2031
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.