Coding for SBI Reimbursement

February 2008

Reimbursement for screening and brief intervention is available through commercial insurance CPT codes, Medicare G codes, and Medicaid HCPCS codes. Information regarding these codes can be found below.

Payer Code Description Fee Schedule
Commercial Insurance CPT 99408 Alcohol and/or substance abuse structured screening and brief intervention services; 15 to 30 minutes $33.41
CPT 99409 Alcohol and/or substance abuse structured screening and brief intervention services; greater than 30 minutes $65.51
Medicare G0396 Alcohol and/or substance abuse structured screening and brief intervention services; 15 to 30 minutes $29.42
G0397 Alcohol and/or substance abuse structured screening and brief intervention services; greater than 30 minutes $57.69
Medicaid H0049 Alcohol and/or drug screening $24.00
H0050 Alcohol and/or drug service, brief intervention, per 15 minutes $48.00

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