H2040 HCPCS code: Coordinated specialty care, team-based, for first episode psychosis, per month
H2040 is the HCPCS Level II code for coordinated specialty care, team-based, for first episode psychosis, per month. 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 | 2023-10-01 |
| Last action effective | 2023-10-01 |
What changed for H2040
- 2023-10-01: H2040 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 H2040?
H2040 is the HCPCS Level II code for coordinated specialty care, team-based, for first episode psychosis, per month. Short descriptor: "Coord specialty care, month".
Does Medicare cover H2040?
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 H2040
- Watch H2040 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for H2040
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.