$33.25–$34.94
G0442 reports the annual alcohol misuse screening. G0443 reports a separate 15-minute brief counseling session for a patient who screens positive for alcohol misuse without dependence, with up to four sessions covered per year.
On this page
CMS RVU26D · Effective 2026-10-01
G0442 Alcohol screening Medicare reimbursement rates in Georgia
Report G0442 for an annual, face-to-face alcohol misuse screening of an adult Medicare patient furnished by a qualified primary care practitioner. Compare G0442 office and facility rates across CMS payment localities in Georgia.
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 G0442 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$17.43–$18.99
2 of 2 localities have a supported rate.
Facility setting
$7.90–$8.13
2 of 2 localities have a supported rate.
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.
Preventive medicine
About G0442: Annual alcohol misuse screening, 15 minutes
Report G0442 for an annual, face-to-face alcohol misuse screening of an adult Medicare patient furnished by a qualified primary care practitioner.
G0442 covers a face-to-face screen for alcohol misuse in an adult Medicare patient, including a pregnant patient, who uses alcohol but does not meet criteria for alcohol dependence. A qualified primary care physician or other qualified primary care practitioner furnishes the service in a primary care setting, such as a family medicine, internal medicine, or geriatrics practice. A validated alcohol screening instrument, such as the AUDIT or AUDIT-C, helps identify risky drinking. Screening may occur during an Annual Wellness Visit, an initial preventive visit, or a separate primary care encounter.
Report G0442 for the annual 15-minute screening service, supported by documentation of the instrument, findings, interpretation, and time spent. If the patient screens positive for alcohol misuse without dependence, brief face-to-face counseling may be reported separately with G0443 when furnished and documented. When screening and an Annual Wellness Visit occur together, document each service distinctly. A significant, separately identifiable problem-oriented E/M service on the same date requires its own documentation and modifier 25 on the E/M code. Medicare waives the Part B deductible and coinsurance for covered alcohol misuse screening.
Where the value comes from
- Work RVU0.18 · 32%
- Practice expense (office) RVU0.37 · 66%
- Malpractice RVU0.01 · 2%
1M
Medicare services in 2024 · #140 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.
G0442 compared with similar codes
Office rates for Georgia, from the same CMS release.
$17.43–$18.99
G0444 is annual depression screening; G0442 screens for alcohol misuse. Select the code for the condition assessed and document each screening performed.
$36.02–$37.76
G0396 describes a structured alcohol or other substance assessment with brief intervention lasting 15–30 minutes. G0442 reports the annual preventive alcohol misuse screening, not an assessment with intervention.
99408
No office rateAudit/dast 15-30 min
99408 describes alcohol or substance screening with brief intervention lasting 15–30 minutes. G0442 reports Medicare's annual preventive alcohol misuse screening without that brief intervention.
Compare G0442 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$18.99
Facility
$8.13
Rest Of Georgia →
Office / nonfacility
$17.43
Facility
$7.90
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
G0442 billing questions
How often can G0442 be billed for a Medicare patient?
Medicare covers the alcohol misuse screening annually. Check the patient's screening history before reporting another service, including screening furnished by a different practice.
Can G0442 be billed on the same day as an Annual Wellness Visit?
Yes, when the alcohol misuse screening is separately performed and documented in addition to the wellness visit.
What happens when the screen is positive?
A patient who misuses alcohol but does not meet criteria for dependence may receive brief face-to-face counseling reported with G0443, up to four sessions per year. Refer a patient who appears alcohol dependent for further evaluation and treatment.
Is a modifier needed when billing with a problem-oriented E/M visit?
Append modifier 25 to the E/M code only when a significant, separately identifiable problem-oriented visit is documented on the same date. Do not count the separately reported screening time toward time-based E/M selection.
Can G0442 be billed for screening in an emergency department or inpatient hospital?
Medicare covers G0442 when the screening is furnished by a qualified primary care practitioner in a primary care setting, rather than during an emergency department or inpatient hospital encounter.
What documentation supports G0442?
Record the alcohol screening instrument, the patient's responses or score, the interpretation, and the time spent. A note stating only that alcohol use was discussed does not establish that the screening was performed.
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.
15,259G0435,,Oral hiv-1/hiv-2 screen,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
15,260G0438,,"Ppps, initial visit",A,,2.60,2.45,,2.45,NA,0.17,5.22,5.22,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,261G0439,,"Ppps, subseq visit",A,,1.92,2.07,,2.07,NA,0.13,4.12,4.12,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,262G0442,,Annual alcohol screen 15 min,A,,0.18,0.37,,0.05,,0.01,0.56,0.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,263G0443,,Brief alcohol misuse counsel,A,,0.60,0.39,,0.15,,0.04,1.03,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,264G0444,,Depression screen annual,A,,0.18,0.37,,0.05,,0.01,0.56,0.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,265G0445,,High inten beh couns std 30m,A,,0.60,0.39,,0.16,,0.04,1.03,0.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00