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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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Official Long Descriptor

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes

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What CPT/HCPCS Codes For Alcohol and Substance Abuse?
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 ]
cpt 99401 and 99408
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 ]
Home Sleep Study article from March 2018 Healthcare monthly magazine
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 ]
SUD - alcohol and/or drug assessments
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 ]
Difference between G0396 and G0442
[QUOTE="jojo1uf, post: 397518, member: 208536"]G0442: Annual alcohol misuse screening, 15 minutes G0396: Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., AUDIT, DAST), ... [ Read More ]
99408 or 99409
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 ]
Sbirt
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 ]
99408/99409-g0396/g0397
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 ]
G0397 and 99213
[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 ]
G0397 and 99213
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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