HCPCS Level II · Outpatient PPS (temporary codes)
C7901Service 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
✓ Active
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About C7901
C7901 is an HCPCS Level II code in the C series (outpatient PPS (temporary codes)), describing 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.
It was added to HCPCS effective 01/01/2023, and its current record took effect 01/01/2024.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Hopd mntl hlt, 30-60 min
- Date added
- 01/01/2023
- Action effective
- 01/01/2024
- BETOS
- M2A
Related C79xx codes
- C7900Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 15-29 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service
- C7902Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, each additional 15 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service (list separately in addition to code for primary service)
- C7903Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service
Common questions about C7901
Is HCPCS C7901 still valid?
- Yes. C7901 is active in the CMS October 2026 HCPCS file.
Does Medicare cover C7901?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.