H2040: Coordinated specialty care, team-based, for first episode psychosis, per month
H2040 is a HCPCS Level II code for coordinated specialty care, team-based, for first episode psychosis, per month. 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 2026Q4-Oct. 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 H2040
- Long descriptor
- Coordinated specialty care, team-based, for first episode psychosis, per month
- Short descriptor
- Coord specialty care, month
- Added
- October 1, 2023
- 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 H2040
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If H2040 is not quite right, the correct code is very often within a few positions of it.
- 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
- H2035Alcohol and/or other drug treatment program, per hour
- 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
- H2041Coordinated specialty care, team-based, for first episode psychosis, per encounter
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