What is the difference between G0442 and G0443?

CPT G0442 can be billed for alcohol misuse screening and G0443 can be used to report brief face to face counseling for alcohol misuse.

What is CPT code G0442?

HCPCS/CPT Codes G0442 – Annual alcohol misuse screening, 15 minutes. G0443 – Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes.

Does time have to be documented for G0442?

Code G0442 is an annual benefit so at least 11 months must pass between services. Both the screening and counseling services have time elements of 15 minutes, so time should be documented in addition to screening or counseling notes.

Does G0444 require 15 minutes?

HCPCS code G0444 (Annual Depression Screening, 15 minutes) was created for the reporting and payment of screening for depression in adults.

What Does Medicare pay for G0442?

screening for alcohol misuse
Medicare pays for an annual screening for alcohol misuse for all Medicare beneficiaries using HCPCS code G0442. For those who screen positive, Medicare also pays for a brief face-to-face behavioral counseling session, HCPCS code G0443.

What modifier do you use for G0442?

Group Code CO (Contractual Obligation) assigning financial liability to the provider, if a claim is received with a GZ modifier indicating no signed ABN is on file. 7633-04.4. 1 CWF shall create an edit to allow G0442 alcohol misuse screening no more than once in a 12-month period.

Is G0442 a payable code?

1 Contractors shall pay for alcohol misuse screening G0442 and brief behavioral counseling G0443 in RHC TOB 71X and FQHCs TOB 77X based on the all-inclusive payment rate.

Does Medicare cover G0442?

7633-04.1 Effective for claims with dates of service on and after October 14, 2011, Medicare will allow coverage of annual alcohol misuse screening, 15 minutes, G0442, and brief face-to-face behavioral counseling for alcohol misuse, 15 minutes, G0443.

Does Medicare pay for G0442?

Can you bill G0442 with G0402?

But none of the AWVs or the IPPE specifically name alcohol screening or counseling- and neither the G0442 or the G0443 is currently bundled with these codes, suggesting that they can be billed along with the G0402. G0438 and G0439.

What modifier is used for G0442?

modifier 66
Such circumstances may be identified by each participating physician with the addition of modifier 66 to the basic procedure number used for reporting services.