Preventive Medicine: Alcohol Misuse Screening & Counseling

May 9th, 2018 - Find-A-Code™
Categories:   CPT® Coding   HCPCS Coding   Preventive Medicine Service  
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Alcohol Misuse Screening and Counseling

Procedure Codes
G0442: Annual alcohol misuse screening, 15 minutes
G0443: Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
99408: Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutes
99409: Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; greater than 30 minutes

ICD-10-CM
No specific diagnosis code

Frequency
G0442: Once annually
G0443: 4 times per year for those who test positive
99408-99409: No frequency guidelines specified

Additional Information

99408-99409

  • Not covered by Medicare for preventative care, consider using G0442 or G0443 instead, as supported by documentation

G0442, G0443, 99409

  • If a patient is positive for alcohol misuse (but not alcohol dependence) documentation should include that they met two additional criteria:
    • They are competent and alert during counseling
    • Counseling is provided by a qualified provider in a primary care setting
  • Treatments for substance abuse/misuse is required to be covered per ACA guidelines

Find-A-Code™ - Preventive Services - The information in this document does not guarantee payment or that included codes meet applicable qualifications as preventive services for all insurances and insurance plans, please consult your payer.


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