Section 90- Preventive Codes for Screening, Brief Intervention and Referral to Treatment (SBIRT) Code Changes, CR 29058

February 19, 2013

Section 90- Preventive Codes for Screening, Brief Intervention and Referral to Treatment (SBIRT) Code Changes, CR 29058 SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders. Primary care centers, hospital emergency rooms, trauma centers, and other community settings provide opportunities for early intervention for at-risk substance users before more severe consequences occur. Below lists how SBIRT screening can help those at risk for substance abuse: • Screening quickly assesses the severity of substance use and identifies the appropriate level of care, ranging from brief intervention to referral for assessment to determine appropriate level of care.

• Brief intervention focuses on increasing insight and awareness regarding substance use and motivation toward behavioral change. The screening and follow up conversation has been found effective in creating positive behavioral changes.

• Referral to assessment and possible treatment provides those identified as needing more extensive treatment with access to specialty care. If the screening shows that the member is at risk for developing a substance abuse issue the physician should refer the member for further assessment from a qualified provider. Effective 1/01/2013, physician’s offices enrolled under MaineCare Benefits Manual, Chapter II- Section 90 should use the following SBIRT codes:

• 99408-Alcohol and/or substance (other than tobacco) abuse structured screening (eg. Audit, DAST), and brief intervention (SBI) services; 15 to 30 minutes (Note: this code replaces G0396)

• 99409- Alcohol and/or substance (other than tobacco) abuse structured screening (eg. Audit, DAST), and brief intervention (SBI) services; greater than 30 minutes (Note: this code replaces G0397)

The SBIRT codes 99408 or 99409 cannot be used at the same time as their corresponding G codes as they replace these codes for physician’s offices enrolled under MCBM Chapter II- Section 90.

For more information, you can email the Code Committee.