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REFERRAL FORM (PAGE 2 OF 2) Patient Name Date Test results and dates: (Hepatitis C, liver enzymes, urine test .

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Screening, Brief Intervention and Referral to Treatment (SBIRT) is an evidence-based approach to identify individuals who use alcohol and other drugs (substances) at risky levels. SBIRT has been shown to be valid and reliable in identifying and improving outcomes for people who use substances.

Health and Behavior Assessment and Intervention CPT codes 96156–96171 may be billed for services when the primary diagnosis is a medical condition.

Substance Abuse Therapeutic Procedures HCPCS CodeDescriptionModifier (Required)H0047Alcohol and/or other drug abuse services, not otherwise specifiedUAT1006Alcohol and/or substance abuse services, family/couple counseling [quantity of 1.0 = 60 minutes]HNHOHP11 more rows

Alcohol and Drug Abuse Treatment HCPCS Code range H0001-H2037.

The first step in SBIRT is to quickly screen everyone to find out if the person might be using alcohol/substances at risky or dependent levels.

Addiction Treatment Billing CPT Code #1: H0001HF You'll use this code when conducting assessments with clients to determine the presence and severity of substance use disorder in the course of developing and updating treatment plans at your addiction treatment facility.

Billing and coding guidance CPT® CodeDescriptor2022 Medicare Facility Payment99408Alcohol and/or substance (other than tobacco) abuse structured screening (eg, audit, DAST), and brief intervention (SBI) services; 15–30 minutes$32.8899409… greater than 30 minutes$66.101 more row • 11 Mar 2022

99241 Office or other outpatient consultation, new or established patient; self-limited or minor problem, 15 min. 99242 low severity problem, 30 min. 99243 moderate severity problem, 45 min. 99244 moderate to high severity problem, 60 min.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232