Below are national billing codes available for SBIRT services. These codes can be used through commercial insurance, Medicare, and Medicaid.
Reimbursement is not guaranteed; billing is dependent upon an organization’s billing practices, including:
Eligibility varies by state; as of October 2014, SBIRT services in Indiana can be performed by midlevel providers, including:
| Payer | Code | Description | Fee Schedule |
|---|---|---|---|
| Commercial Insurance, Medicaid | 99408 |
Structured screening and brief intervention 15-30 minutes |
$33.41 |
| Commercial Insurance, Medicaid | 99409 |
Structured screening and brief intervention Longer than 30 minutes |
$65.51 |
| Medicare | G0396 |
Structured screening and brief intervention 15-30 minutes |
$29.42 |
| Medicare | G0397 |
Structured screening and brief intervention Longer than 30 minutes |
$57.69 |
| Medicare | G0442 | Screening for alcohol misuse in adults (including pregnant women) Once per year No coinsurance or deductible for patient | $17.33 |
| Medicare | G0443 | Up to four, 15 minute, brief interventions per year for adults (including pregnant women) who’ve screened positive for alcohol misuse. No coinsurance or deductible for patient | $25.14 |
| Medicaid | H0049 |
Alcohol and/or drug screening (code not widely used) |
$24.00 |
| Medicaid | H0050 |
Brief intervention 15 minutes (code not widely used) |
$48.00 |
