Francine Posted Wed 30th of October, 2019 14:36:33 PM
We provide remote monitoring services to verify abstinence from alcohol using Soberlink technology. These are often mandated services through licensing boards or family court. We need the proper code for setup and education pertaining to this service. We also need a code for the monthly monitoring fee. Part of this service is consulting with attorneys, mediators, etc., to determine the correct protocol. So, that would probably be a different code. Please help! We provide these services under alcohol and drug counseling, not as an MD physician.
SuperCoder Answered Thu 31st of October, 2019 10:12:55 AM
Thanks for your question.
Alcohol and drug counselling codes for 99408 and 99409 can be used for screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session. The code is for telemed.
For Medicare patients, consider G0396 or G0397 in place of 99408 or 99409.
If the provider performs the screening and decides the patient does not require an intervention, include the screening in the selection of the E/M or preventive service code.
H0049 can be used for alcohol screening, drug screening, or both, typically in an individual undergoing treatment for substance abuse.
Use H codes to identify mental health services, such as alcohol and drug treatment. State Medicaid agencies may require use of these codes, and each state may define its own rules for proper reporting.
For monitoring purpose code 82075 can be used which suggests that the lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath, much like the blood alcohol test, but using a breath sample.
Hope this helps.