HCPCS H0034 reports medication training and support, defined per 15 minutes. It is used to educate and support members in understanding and managing psychiatric medication.
When to use H0034
Use H0034 for curriculum-based medication education and support in Medicaid behavioral health. It is distinct from the CPT pharmacologic management add-on 90863.
How to bill it
Report per 15-minute unit, following the relevant state Medicaid program’s rules.
Common pitfalls
- Confusing medication training and support (H0034) with CPT pharmacologic management (90863).
- Assuming national unit definitions across states.
Frequently asked questions
How does H0034 differ from 90863?
H0034 is Medicaid medication training and support defined per 15 minutes; 90863 is the CPT add-on for pharmacologic management delivered with psychotherapy.
Is H0034 time-based?
Yes. The official HCPCS descriptor defines it per 15 minutes.