HCPCS Code for Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes G0397
HCPCS code G0397 for Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes as maintained by CMS falls under Alcohol and Substance Abuse Assessments .
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I am working for a FQHC and we are implementing a detox program into one of our residential rehabilitation service center. Suppose to be in patient and out patient. I do not know what codes to use t... [ Read More ]
In Ohio, 99401 Preventive Medicine Counsel and 99408 Alcohol/substance abuse; are both a non covered service per Medicare fee schedule. Per Medicaid NCCI policy Chapter XI;
CPT codes 99408 and 99409 d... [ Read More ]
Hi- If there are any pulmonary/sleep coders out there I have a question regarding the recent article about sleep studies done at home. The article lists temporary G-codes that are billable to Medicar... [ Read More ]
Would H0001 (Alcohol and/or drug assessment) be coded as G0396 or G0397 (alcohol and/or substance abuse structured assessment and brief intervention) for Medicare? I am not sure if they are considered... [ Read More ]
Those codes should be fine for most commercial carriers unless they only accept Medicare codes in which you would replace with G0396 and G0397
The reimbursement is roughly the same and is about $35 f... [ Read More ]
Does anyone have any experience billing SBIRT services in the ED? If so, do you know if you can bill for an E/M with G0396/G0397 for Medicare or H0049/H0050 for Medicaid? Also, can facility billing ... [ Read More ]
We are specialist office, sometimes Drs do the evaluation for the mentioned CPT codes.
Can I know what are the guidelines for this code like
1.Can pcp only bill the code.
2.protocol for meeting the ... [ Read More ]
[b]G0397 & E/M billed on same day[/b]
The majority of health plans follow the CMS NCCI guidelines so I would suggest that you go to the CMS.gov website, enter NCCI in the search field and review the ... [ Read More ]
Does anyone know if I am able to bill a G0397 code and 99213 together? If so, is there a modifer to the G code? I was told by a rep that I could bill G0397 along with an established patient visit co... [ Read More ]
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The secret to ensuring both proper payment and compliance is in the details. Why is mental health coding so complex Laurie Bouzarelos MHA CPC asked and answered that question in her presentation Codin... [ Read More ]
Be Ready as More Patients Seek Help By Meera Mohanakrishnan MSc CPC There are two codes for tobacco use cessation counseling and two codes for alcohol andor substance abuse screening and brief interve... [ Read More ]
PQRI Drives Most Changes By Bonnie SchreckCCS CPC CPCH CCSP HCPCS Level II is the most dynamic code set of all core coding code sets e.g. CPT ICD9CM and HCPCS Level II. This year has proven just that ... [ Read More ]