H2035 — Alcohol and/or other drug treatment program, per hour
H2035 is a HCPCS Level II code for alcohol and/or other drug treatment program, per hour. 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 H2035
- Long descriptor
- Alcohol and/or other drug treatment program, per hour
- Short descriptor
- A/d tx program, per hour
- Added
- April 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 H2035
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If H2035 is not quite right, the correct code is very often within a few positions of it.
- H2027Psychoeducational service, per 15 minutes
- H2028Sexual offender treatment service, per 15 minutes
- H2029Sexual offender treatment service, per diem
- H2030Mental health clubhouse services, per 15 minutes
- H2031Mental health clubhouse services, per diem
- H2032Activity therapy, per 15 minutes
- H2033Multisystemic therapy for juveniles, per 15 minutes
- H2034Alcohol and/or drug abuse halfway house services, per diem
- H2036Alcohol and/or other drug treatment program, per diem
- H2037Developmental delay prevention activities, dependent child of client, per 15 minutes
- H2038Skills training and development, per diem
- H2040Coordinated specialty care, team-based, for first episode psychosis, per month
- H2041Coordinated specialty care, team-based, for first episode psychosis, per encounter
- J0013Esketamine, nasal spray, 1 mg
- J0120Injection, tetracycline, up to 250 mg
- J0121Injection, omadacycline, 1 mg
Questions about H2035
What is HCPCS code H2035?
H2035 is a HCPCS Level II code for alcohol and/or other drug treatment program, per hour. It sits in the Behavioral Health and Substance Abuse Treatment section.
Does Medicare cover H2035?
The CMS HCPCS file marks H2035 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 H2035 paid under the physician fee schedule?
H2035 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.