C7903 – 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

HCPCS Level II code · C codes: Outpatient PPS (Hospital Outpatient)

Active code Special coverage instructions apply

HCPCS codeC7903
Long description
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
Short description
Hopd mntl hlt, grp
Pricing indicator
53 Statute
Medicare coverage
D Special coverage instructions apply
BETOS category
M2A Hospital visit - initial
Added
January 1, 2024
Last change
January 1, 2024 – No change

Frequently asked questions

What is HCPCS code C7903?

C7903 is a HCPCS Level II code for 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.

Does Medicare cover C7903?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby C codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.