HCPCS code G0396 — Alcohol/subs interv 15-30mn. Status: Active. Effective Oct 1, 2020. Source: CMS HCPCS Level II.

G0396

Active

Alcohol/subs interv 15-30mn

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Oct 1, 2020
Code type: alphanumeric
OPPS Status: S — Significant procedure — not subject to multiple procedure reduction
OPPS APC: 5821

MUE — Medically Unlikely Edits

Maximum units of G0396 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 1
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2020-Q4
    Alcohol/subs interv 15-30mn