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Covered Codes for Tobacco, Alcohol and Substance Abuse Screenings, and Ambulatory Detoxification

In addition to covering claims for primary care visits submitted with behavioral health diagnoses, UniCare also covers screening and intervention services for substance use, alcohol use, and tobacco cessation. These services are being emphasized as important components of routine management of primary care patients.

The following codes are available to enable reporting and reimbursement for these services.

Codes for Tobacco, Alcohol and Substance Abuse Screenings
99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 10 minutes
99407 Smoking and tobacco use cessation counseling visit; intermediate, greater than 10 minutes
G0436 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes, up to 10 minutes
G0437 Smoking and tobacco use cessation counseling visit; intermediate, greater than 10 minutes
99408 Alcohol and substance abuse structured screening and brief intervention; 15 to 30 minutes
99409 Alcohol and substance abuse structured screening and brief intervention; greater than 30 minutes
G0396 Alcohol and substance abuse structured screening and brief intervention; 15 to 30 minutes
G0397 Alcohol and substance abuse structured screening and brief intervention; greater than 30 minutes
G0442 Annual alcohol misuse screening, 15 minutes
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes

Ambulatory detoxification

UniCare also has begun providing coverage for ambulatory detoxification. Providers are requested to use the HCPC code H0014 in claims submission for these services to be considered for reimbursement.

H0014 Ambulatory detoxification

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For self-funded plans, claims are administered by UniCare Life & Health Insurance Company. © 2018 UniCare