HCPCS code G2011 — Alcohol/sub misuse assess.
Status: Active.
Effective Oct 1, 2020.
Source: CMS HCPCS Level II.
G2011
ActiveAlcohol/sub misuse assess
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 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:
5731
MUE — Medically Unlikely Edits
Maximum units of G2011 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
NCCI Edits — Reverse Direction
G2011 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0463 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2020-Q4Alcohol/sub misuse assess