This article is for doctors and other health care practitioners who counsel our members on unhealthy alcohol use.
As of November 15, 2019, we’ll reimburse the following alcohol and substance use screening codes when these services are billed by doctors and other health care practitioners. Previously, we reimbursed these codes only when billed by behavioral health clinicians.
All members over age 18 are eligible for this benefit, but there may be differences in the member cost.
|If member’s plan||Then the member will|
|Covers routine care at zero cost (in accordance with the Affordable Care Act preventive care mandate)||Pay nothing.|
|Does not cover routine care at zero cost||
Have a copay,
co-insurance, or deductible.
The two codes are for alcohol or substance use screening (other than tobacco) and brief intervention services.
|99409||More than 30 minutes|
These codes include time spent:
The US Preventive Services Task Force recommends screening for unhealthy alcohol use for adults 18 and older, including pregnant women and those engaged in risky or hazardous drinking. These brief behavioral counseling sessions are intended to reduce unhealthy alcohol use.
Please contact Network Management and Credentialing Services at 1-800-316-BLUE (2583).