$70.50
G0397 is the longer-duration Medicare code, used when the structured assessment and intervention exceed 30 minutes; G0396 covers 15–30 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
G0396 Brief intervention Medicare reimbursement rates in Connecticut
Reports a structured alcohol or other substance-use assessment with brief intervention when the clinician spends 15–30 minutes on the service. Compare G0396 office and facility rates across CMS payment localities in Connecticut.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for G0396 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$38.96
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$30.33
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Substance use services
About G0396: Alcohol or substance brief intervention
Reports a structured alcohol or other substance-use assessment with brief intervention when the clinician spends 15–30 minutes on the service.
G0396 covers a structured assessment for alcohol or other substance use followed by a brief intervention, with 15–30 minutes spent on the service. A clinician may use an instrument such as AUDIT for alcohol or DAST for drug use, discuss the findings, advise behavior change, and arrange treatment referral when indicated. The service involves more than administering a questionnaire; it includes assessment and a responsive intervention.
Select G0396 based on the documented assessment, intervention, and time, not solely on a substance-use diagnosis or screening result. Record the instrument or assessment method, findings, counseling provided, total service time, and any referral or follow-up plan. Use G0397 when the documented service exceeds 30 minutes. CMS assigns work, practice expense, and malpractice relative values to G0396 in the physician fee schedule, with practice-expense values differing by office and facility setting.
Where the value comes from
- Work RVU0.65 · 59%
- Practice expense (office) RVU0.40 · 36%
- Malpractice RVU0.06 · 5%
63.1K
Medicare services in 2024 · #700 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
G0396 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$19.85
G0442 reports alcohol misuse screening. G0396 includes a structured assessment plus a brief intervention and also covers substances other than alcohol.
$36.09
G0443 reports brief counseling for alcohol misuse after a positive screen. G0396 combines structured assessment and brief intervention and includes other substances.
99408
No office rateAudit/dast 15-30 min
99408 is the CPT counterpart for a comparable 15–30-minute service. G0396 is the Medicare HCPCS code.
Compare G0396 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
$38.96
Facility
$30.33
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0396 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
15,220
- Code
- G0396
- Physician work
- 0.65
- Practice expense
- 0.40
- Malpractice
- 0.06
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.65 | × 1.020 | 0.6630 |
| Practice expense | 0.40 | × 1.077 | 0.4308 |
| Malpractice | 0.06 | × 1.210 | 0.0726 |
| Total RVUs | 1.1664 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$38.96
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.65 | 1.02 |
| Practice expense | 0.4 | 1.077 |
| Malpractice | 0.06 | 1.21 |
(0.65 × 1.02 + 0.4 × 1.077 + 0.06 × 1.21) × $33.4009 = $38.96
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.65 | 1.02 |
| Practice expense | 0.16 | 1.077 |
| Malpractice | 0.06 | 1.21 |
(0.65 × 1.02 + 0.16 × 1.077 + 0.06 × 1.21) × $33.4009 = $30.33
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
G0396 billing questions
When should G0396 be used instead of G0397?
Use G0396 for a documented structured assessment and brief intervention lasting 15–30 minutes. G0397 is the longer-duration counterpart for services exceeding 30 minutes.
Does administering a screening questionnaire alone support G0396?
No. G0396 includes a brief intervention after the structured assessment; document the discussion or counseling that followed the assessment.
What documentation should support G0396?
Record the assessment method or instrument, results, intervention provided, total service time, and any referral or follow-up plan.
Can the same counseling time be counted toward an office visit and G0396?
Do not count the same work or time twice. Document the substance-use assessment and intervention distinctly from any separately reported evaluation and management service.
How many units of G0396 are reported for a 15–30-minute service?
G0396 represents the 15–30-minute service. Document the total time supporting that service; use G0397 when the service exceeds 30 minutes.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
15,217G0383,,Lev 4 hosp type b ed visit,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,218G0384,,Lev 5 hosp type b ed visit,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,219G0390,,Trauma respons w/hosp criti,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,220G0396,,Alcohol/subs interv 15-30mn,A,,0.65,0.40,,0.16,,0.06,1.11,0.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,221G0397,,Alcohol/subs interv >30 min,A,,1.30,0.65,,0.28,,0.07,2.02,1.65,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,222G0398,,Home sleep test/type 2 porta,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,223G0398,26,Home sleep test/type 2 porta,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808