The USPSTF recommends screening for alcohol misuse and behavioral interventions for individuals whose screening results are positive.
Medicare pays for an annual screening for alcohol misuse for all Medicare beneficiaries using HCPCS code G0442.
For those who screen positive, Medicare also pays for a brief face-to-face behavioral counseling session, HCPCS code G0443.
Both of these are 15 minute codes. In order to bill them, the record must show that the service took over half of the threshold time, or 7.5 minutes.
G0442 has a national fee amount of about $19 and G0443 a fee of about $26.
State Medicaid programs can individually decide whether or not to restrict coverage based on specialty designation of the provider. Check with commercial payers.
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