Friday, May 31, 2013

SBIRT - Coding for SBI Reimbursement

Most doctors and nurses don't know this, but reimbursement for screening and brief intervention is available through commercial insurance CPT codes, Medicare G codes, and Medicaid HCPCS codes.

The Substance Abuse & Mental Health Services Administration or SAMHSA is working with the Centers for Medicare and Medicaid Services (CMS) 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 (e.g., AUDIT, DAST) and brief intervention.

Commercial Insurance billing codes are CPT 99408 and CPT 99409.
Medicare codes are G0396 and G0397
Medicaid codes are H0049 and H0050

You can learn more about SBIRT coverage here and you can also purchase a novel nursing continuing education activity titled the "SBIRT Substance Use NursingMentor" here:

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