Optum360 coding books logo
Optum360Coding.com
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
March 27, 2018


Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More


Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

Medicare payment caps on outpatient therapy were permanently repealed effective January 1, 2018. ... Learn More


OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More


View Article Archive

Subscribe:
To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:
 

Medical Coding News Archives

Coverage Limited for Alcohol and Substance Abuse Assessment and Intervention

 
December 11, 2007:
The Centers for Medicare and Medicaid Services (CMS) will not recognize new CPT® codes 99408 and 99409 for reporting alcohol and/or substance abuse screening. Medicare does not cover screening services unless specifically mandated by statute, such as has been done for mammography, diabetes, and colorectal cancer screening.

These CPT® codes will not be paid under the 2008 Medicare physician fee schedule (MPFS) or the outpatient prospective payment system (OPPS); they have been assigned status indicator N or E, respectively.

However, CMS has created two parallel G codes for reporting alcohol and substance abuse assessment and intervention services not provided as screening services but performed to diagnose or treat illness or injury. The codes are HCPCS Level II codes G0396 Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., AUDIT, DAST) and brief intervention, 15 to 30 minutes; and G0397 Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., AUDIT, DAST) and intervention, greater than 30 minutes. These G codes are active in both payment systems. Medicare contractors will pay for these codes only when considered reasonable and necessary.

CPT is a registered trademark of the American Medical Association.

Regina Magnani, RHIT
Clinical/Technical Editor

 

 
Sign in to
Your Account
USERNAME
Forgot your username?
PASSWORD
Forgot your password?
Don't have an account?
It's easy to create one.

Promo code

Have a promotional source code? Enter it here:


What is this?
Shop our catalog
Request or check out the electronic version of our latest catalog.

Medical Coding Books Winter 2018 Catalog