HCPCS code G0397 — Alcohol/subs interv >30 min. Status: Active. Effective Oct 1, 2020. Source: CMS HCPCS Level II.

G0397

Active

Alcohol/subs interv >30 min

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 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: 5823

MUE — Medically Unlikely Edits

Maximum units of G0397 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 >30 min