H0011 — Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)
H0011 is a HCPCS Level II code for alcohol and/or drug services; acute detoxification (residential addiction program inpatient). It belongs to the Behavioral Health and Substance Abuse Treatment section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusI
Not valid for Medicare purposes. Medicare uses another code.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for H0011
- Long descriptor
- Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)
- Short descriptor
- Alcohol and/or drug services
- Added
- January 1, 2001
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to H0011
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If H0011 is not quite right, the correct code is very often within a few positions of it.
- H0003Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs
- H0004Behavioral health counseling and therapy, per 15 minutes
- H0005Alcohol and/or drug services; group counseling by a clinician
- H0006Alcohol and/or drug services; case management
- H0007Alcohol and/or drug services; crisis intervention (outpatient)
- H0008Alcohol and/or drug services; sub-acute detoxification (hospital inpatient)
- H0009Alcohol and/or drug services; acute detoxification (hospital inpatient)
- H0010Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)
- H0012Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient)
- H0013Alcohol and/or drug services; acute detoxification (residential addiction program outpatient)
- H0014Alcohol and/or drug services; ambulatory detoxification
- H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education
- H0016Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)
- H0017Behavioral health; residential (hospital residential treatment program), without room and board, per diem
- H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem
- H0019Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem
Questions about H0011
What is HCPCS code H0011?
H0011 is a HCPCS Level II code for alcohol and/or drug services; acute detoxification (residential addiction program inpatient). It sits in the Behavioral Health and Substance Abuse Treatment section.
Does Medicare cover H0011?
The CMS HCPCS file marks H0011 as "Not payable by Medicare". Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
How is H0011 paid under the physician fee schedule?
H0011 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.