Commonly Used Billing Codes
What billing codes can I use?
Insurance coverage of addiction treatment remains severely limited in both the populations and services that are covered. The absence of mandated coverage in all health plans means that some health plans may continue to choose not to provide coverage for addiction treatment, continuing to deny access to patients who need it.
A list of current billing codes is provided below:
Billing Codes Payer Commercial Insurance
|G0436||Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes||$12.18 to $15.65*|
|G0437||Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes||$26.15 to $30.92*|
|G0396||Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., AUDIT, DAST), and brief intervention, 15 to 30 minutes||$34.75-$40.31*|
|G0397||Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., AUDIT, DAST) and intervention greater than 30 minutes||$68.42-$77.49*|
|G0442||Annual alcohol misuse screening, 15 minutes||$9.67 to $19.57*|
|G0443||Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes||$24.00 to $28.18*|
|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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