HCPCS H0002 reports a behavioral health screening used to determine eligibility for admission to a treatment program.
When to use H0002
Use H0002 for the screening that establishes whether a member is eligible for admission to a behavioral health program. It is distinct from the substance use assessment H0001 and from CPT screening codes.
How to bill it
Report per screening, following the relevant Medicaid program’s definitions.
Common pitfalls
- Confusing eligibility screening (H0002) with a standardized assessment.
- Assuming national billing rules for a state-defined H-code.
Frequently asked questions
How does H0002 differ from H0001?
H0001 is a substance use assessment to determine treatment needs; H0002 is a screening to determine eligibility for admission to a program.
Is H0002 covered by commercial insurance?
H-codes are generally Medicaid-specific. Commercial payers typically use CPT screening codes instead, so verify before billing.