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H0004

Alcohol and/or drug services

Behavioral health counseling and therapy, per 15 minutes

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2001-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/H0004 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "H0004",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Alcohol and/or drug services",
    "billable": true,
    "attributes": {
      "betos": "Z2",
      "coverage": "I",
      "action_code": "N",
      "type_of_service": "9",
      "pricing_indicator": "00",
      "action_effective_date": "2003-01-01"
    },
    "description": "Behavioral health counseling and therapy, per 15 minutes",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2001-01-01",
    "care_categories": [
      "addiction-treatment"
    ],
    "care_category_details": [
      {
        "slug": "addiction-treatment",
        "name": "Addiction treatment",
        "confidence": 0.9,
        "derivation": "derived",
        "evidence": [
          {
            "url": "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update",
            "anchor": "HCPCS Level II range H0001-H2999 (description)"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

H0004 in the HCPCS file

betos
Z2
coverage
I
action code
N
type of service
9
pricing indicator
00
action effective date
2003-01-01

Change history

Lifecycle

H0004 has been in effect since 2001-01-01. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up H0004 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/H0004 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code H0004. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.