H1011 HCPCS Level II code: Family assessment by licensed behavioral health professional for state defined purposes
H1011 is the HCPCS code for “Family assessment by licensed behavioral health professional for state defined purposes” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
H1011Family assessment by licensed behavioral health professional for state defined purposes
Short description: Family assessment
HCPCS · United States
Medicare details
The indicators CMS publishes with H1011 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, 2003
Where H1011 sits
- 1H codesBehavioral health and substance use services
- 2Active code H1011Family assessment by licensed behavioral health professional for state defined purposes
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 H1011 mean?
H1011 is the HCPCS code for “Family assessment by licensed behavioral health professional for state defined purposes” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover H1011?
CMS lists H1011’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 H1011
All H codesH1001Prenatal care, at-risk enhanced service; antepartum managementH1002Prenatal care, at risk enhanced service; care coordinationH1003Prenatal care, at-risk enhanced service; educationH1004Prenatal care, at-risk enhanced service; follow-up home visitH1005Prenatal care, at-risk enhanced service package (includes h1001-h1004)H1010Non-medical family planning education, per sessionH2000Comprehensive multidisciplinary evaluationH2001Rehabilitation program, per 1/2 dayH2010Comprehensive medication services, per 15 minutesH2011Crisis intervention service, per 15 minutesH2012Behavioral health day treatment, per hourH2013Psychiatric health facility service, per diem