C7901 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
Short descriptor: Hopd mntl hlt, 30-60 min
Look up C7901 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
C7901 is the HCPCS Level II code for 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 (2026). It belongs to Section C — Outpatient PPS (Hospital). Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Not separately priced by Part B.
Classification & CMS Attributes
- Section
- C: Outpatient PPS (Hospital)
- Medicare Coverage
- Carrier judgment (code C)
- Part B Pricing
- Not separately priced by Part B (indicator 00)
- Type of Service
- Medical care
- Effective Date
- 2024-01-01
- 2026 Maintenance
- No change this year
References
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Reference C7901 with the canonical source and edition:
C7901 — 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. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/C7901
Canonical URL: https://icd10codingpro.com/hcpcs-codes/C7901