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Coding for Screening and Brief Intervention Reimbursement

Reimbursement for screening and brief intervention is available through commercial insurance, Medicare, and Medicaid.

Important Medicare Information

SAMHSA is working with the Centers for Medicare and Medicaid Services to educate practitioners about the importance of SBIRT coverage and the Medicare billing rules around these services. SBIRT services are defined as alcohol and/or substance (other than tobacco) abuse structured assessment (for example, Alcohol Use Disorders Identification Test, Drug Abuse Screening Test) and brief intervention. Medicare may not pay for screening services unless specifically required by statute.

More information can be found at the Medicare Learning Network.

Reimbursement for SBIRT

PayerCodeDescriptionFee Schedule
Commercial InsuranceCPT 99408Alcohol and/or substance abuse structured screening and brief intervention services; 15 to 30 minutes$33.41
CPT 99409Alcohol and/or substance abuse structured screening and brief intervention services; greater than 30 minutes$65.51
MedicareG0396Alcohol and/or substance abuse structured screening and brief intervention services; 15 to 30 minutes$29.42
G0397Alcohol and/or substance abuse structured screening and brief intervention services; greater than 30 minutes$57.69
MedicaidH0049Alcohol and/or drug screening$24.00
H0050Alcohol and/or drug screening, brief intervention, per 15 minutes$48.00
Last Updated: 04/17/2024