HCPCS H0005 reports clinician-led group counseling for alcohol and/or drug services. It is a Medicaid code used in substance use treatment settings.
When to use H0005
Use H0005 for substance use group counseling led by a clinician. It is distinct from the CPT group psychotherapy code 90853.
How to bill it
Report per group session, following the relevant state Medicaid program’s rules.
Common pitfalls
- Confusing substance use group counseling (H0005) with general group therapy (90853).
- Assuming commercial coverage for a Medicaid H-code.
Frequently asked questions
How does H0005 differ from 90853?
H0005 is substance use group counseling used primarily in Medicaid; 90853 is general group psychotherapy used across payers.
Is H0005 covered by commercial insurance?
H-codes are generally Medicaid-specific. Verify coverage before billing commercial payers.