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HCPCS Level II/G-Codes/G2196

G2196 HCPCS Level II Code: Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method

Medicare Coverage & Payment

  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Service not separately priced (pricing indicator 00)
  • BETOS: Z2
  • Effective: January 1, 2021

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Official Registry Overview & Definition

Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method is a HCPCS Level II code (G2196). CMS assigns coverage code C — Carrier judgment. Short description: Screen unhlthy etoh use.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G2196 in its code family, with their registry titles.

  • G2189 — Patients with clinical indications for imaging of the head: abnormal neurologic exam
  • G2190 — Patients with clinical indications for imaging of the head: headache radiating to the neck
  • G2191 — Patients with clinical indications for imaging of the head: positional headaches
  • G2192 — Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age
  • G2193 — Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age)
  • G2194 — Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavior
  • G2195 — Patients with clinical indications for imaging of the head: occipital headache in children
  • G2197 — Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user
  • G2198 — Documentation of medical reason(s) for not screening for unhealthy alcohol use using a systematic screening method (e.g., limited life expectancy, other medical reasons)
  • G2199 — Patient not screened for unhealthy alcohol use using a systematic screening method