HCPCS Level II · Outpatient PPS (temporary codes)
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
✓ Active
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About C7903
C7903 is an HCPCS Level II code in the C series (outpatient PPS (temporary codes)), describing group 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.
It was added to HCPCS effective 01/01/2024.
Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.
Details
- Short description
- Hopd mntl hlt, grp
- Date added
- 01/01/2024
- 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
- 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
- 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)
Common questions about C7903
Is HCPCS C7903 still valid?
- Yes. C7903 is active in the CMS October 2026 HCPCS file.
Does Medicare cover C7903?
- Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.