SBI provided by a physician or other licensed health care provider

SBI could be provided to patients in med/surg, ICU, psych, or other inpatient service. Distinguish patients with a known substance use-related medical problem (intoxication, dependence, abuse, toxicity, or medical complications of alcohol or drug use) from those with risky or hazardous use patterns related to a current medical condition (traumatic injury following a drug-related car crash, acute pancreatitis, or GERD associated with heavy drinking). Billing and diagnostic codes must include whether the health care provider delivering the SBI services is the primary treating practitioner or a practitioner consulting on patient care.

Recommended codes:

CPT
99408           Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutes 
99409           greater than 30 minutes

Medicare
G0396             Alcohol and/or substance (other than tobacco) abuse structured assessment (AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutes  
G0397             greater than 30 minutes  

Medicaid
H0049            Alcohol and/or drug screening.
H0050            Alcohol and/or drug services, brief intervention, per 15 minutes.

Other codes that could be used:

Screening
99251 (initial inpatient consultation)

Brief Intervention
99251 - 99255 (initial inpatient consultation)
98960 (patient self-management education)
90816 - 90822 (inpatient individual psychotherapy)

SBI provided by a hospital employee (nurse, social worker, health educator, or other employee of the hospital under direct supervision of a physician)

SBI could be provided to patients in med/surg, ICU, psych, or other inpatient service.

Screening
99251 (initial inpatient consultation)

Brief Intervention
99251 - 99255 (initial inpatient consultation)
98960 (patient self-management education)
90816 - 90822 (inpatient individual psychotherapy)