C7901 HCPCS - SERVICE FOR DIAGNOSIS, EVALUATION, OR TREATMENT OF A MENTAL HEALTH OR SUBSTANCE USE DISORDER, 30-60 MINUTES, PROVIDED REMOTELY BY HOSPITAL STAFF WHO ARE LICENSED TO PROVIDED MENTAL HEALTH SERVICES UNDER APPLICABLE STATE LAW(S), WHEN THE PATIENT IS IN THEIR HOME, AND THERE IS NO ASSOCIATED PROFESSIONAL SERVICE

Code Information

HCPCS Code: C7901
Sequence Number: 0010
Short Description: Hopd mntl hlt, 30-60 min
Long Description: Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service
Date Added: 1/1/2023
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2024
Classification: Temporary Hospital Outpatient Prospective Payment System
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: M2A - Hospital visit - initial
Type Of Service Code:
- 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Pricing Indicator Code:
- 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: C - Carrier judgment

Field Name	Field Value
Healthcare Common Procedure Coding System Code	C7901
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service
HCPCS Short Description	Hopd mntl hlt, 30-60 min
HCPCS Pricing Indicator Code 1	00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
HCPCS Multiple Pricing Indicator Code	9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Coverage Code	C - Carrier judgment
HCPCS Berenson-Eggers Type Of Service Code	M2A - Hospital visit - initial
HCPCS Type Of Service Code 1	1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2023
HCPCS Action Effective Date	1/1/2024
HCPCS Action Code	N - No maintenance for this code