H0016 HCPCS Level II code: Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)
H0016 is the HCPCS code for “Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
H0016Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)
Short description: Alcohol and/or drug services
HCPCS · United States
Medicare details
The indicators CMS publishes with H0016 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Not payable by Medicare
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Other medical items or services
- BETOS category
- Undefined codes
- Added
- Jan 1, 2001
Where H0016 sits
- 1H codesBehavioral health and substance use services
- 2Active code H0016Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code H0016 mean?
H0016 is the HCPCS code for “Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover H0016?
CMS lists H0016’s Medicare coverage as “Not payable by Medicare” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside H0016
All H codesH0010Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)H0011Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)H0012Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient)H0013Alcohol and/or drug services; acute detoxification (residential addiction program outpatient)H0014Alcohol and/or drug services; ambulatory detoxificationH0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment…H0017Behavioral health; residential (hospital residential treatment program), without room and board, per diemH0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diemH0019Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per…H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)H0021Alcohol and/or drug training service (for staff and personnel not employed by providers)H0022Alcohol and/or drug intervention service (planned facilitation)