tci Outpatient Facility Coding Alert - 2016 Issue 11

Reader Question: Here's How to Get Paid for Substance Abuse Treatment

Question: The provider treated a patient with substance abuse. His consultation covered establishment of a treatment plan, diagnosis, and patient education regarding diagnosis and treatment in a substance abuse treatment setting. Can you advise as to the billing codes and reimbursement rates for these services, and where I could find additional information regarding the documentation needed to meet these billing requirements? Mississippi Subscriber Answer: There are two codes you can use to report for these procedures: 99408 (Alcohol and/or substance [other than tobacco] abuse structured screening [eg, AUDIT, DAST] and brief intervention [SBI] services; 15 to 30min) and 99409...

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