0

Billing Medicare for Substance Use

KELLY PERFETTI 5 years ago in Billing/Electronic Modules updated by Karen P 5 years ago 3

Wondering if any others have billed Medicare for Alcohol screenings and counseling?  If so what codes did you use, I am not see any codes they recognize.

Alcohol misuse screenings & counseling

Medicare Part B (Medical Insurance) covers an alcohol misuse screening once per year if you’re an adult (including pregnant women) who uses alcohol, but you don’t meet the medical criteria for alcohol dependency. If your primary care doctor or other primary care practitioner determines you’re misusing alcohol, you can get up to 4 brief face-to-face counseling sessions per year (if you’re competent and alert during counseling).

I can't bill Medicare for substance abuse. 

When I worked in SA, we did not have a contract to bill Medicare