HCPCS H2011 reports a crisis intervention service, defined per 15 minutes. It is used for direct intervention with a member experiencing an acute behavioral health crisis.
When to use H2011
Use H2011 for Medicaid crisis intervention delivered in 15-minute units. It is distinct from the CPT crisis psychotherapy codes 90839/90840, though some states repurpose H2011 for mobile crisis.
How to bill it
Report per 15-minute unit, following the relevant state Medicaid program’s rules and documentation requirements.
Common pitfalls
- Confusing the Medicaid H2011 with the CPT crisis codes 90839/90840.
- Assuming uniform state rules for a code some states repurpose for mobile crisis.
Frequently asked questions
How does H2011 differ from 90839?
H2011 is a Medicaid crisis intervention service defined per 15 minutes; 90839 is the CPT crisis psychotherapy code for the first 60 minutes.
Is H2011 used for mobile crisis?
Some state Medicaid programs repurpose H2011 for mobile crisis services, so verify the local definition and requirements.