Question 1

What is HCPCS code G0396?

Accepted Answer

HCPCS code G0396 is "Alcohol/subs interv 15-30mn". Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes

Question 2

What category is G0396 in?

Accepted Answer

G0396 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0396?

Accepted Answer

Use G0396 when billing for alcohol/subs interv 15-30mn. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G0396 covered by Medicare?

Accepted Answer

Coverage for G0396 (Alcohol/subs interv 15-30mn) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G0396?

Accepted Answer

Documentation for G0396 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).