H0040 — Assertive community treatment program, per diem
H0040 is a HCPCS Level II code for assertive community treatment program, per diem. 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 H0040
- Long descriptor
- Assertive community treatment program, per diem
- Short descriptor
- Assert comm tx pgm per diem
- Added
- January 1, 2003
- 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 H0040
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If H0040 is not quite right, the correct code is very often within a few positions of it.
- H0032Mental health service plan development by non-physician
- H0033Oral medication administration, direct observation
- H0034Medication training and support, per 15 minutes
- H0035Mental health partial hospitalization, treatment, less than 24 hours
- H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes
- H0037Community psychiatric supportive treatment program, per diem
- H0038Self-help/peer services, per 15 minutes
- H0039Assertive community treatment, face-to-face, per 15 minutes
- H0041Foster care, child, non-therapeutic, per diem
- H0042Foster care, child, non-therapeutic, per month
- H0043Supported housing, per diem
- H0044Supported housing, per month
- H0045Respite care services, not in the home, per diem
- H0046Mental health services, not otherwise specified
- H0047Alcohol and/or other drug abuse services, not otherwise specified
- H0048Alcohol and/or other drug testing: collection and handling only, specimens other than blood
Questions about H0040
What is HCPCS code H0040?
H0040 is a HCPCS Level II code for assertive community treatment program, per diem. It sits in the Behavioral Health and Substance Abuse Treatment section.
Does Medicare cover H0040?
The CMS HCPCS file marks H0040 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 H0040 paid under the physician fee schedule?
H0040 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.