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MedicaidBilling CodesMedium impact

Addition of Screening, Brief Intervention & Referral to Treatment Codes to the Clinic Fee Schedules pdf

Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +2 more·Provider Bulletin
Effective date
Aug 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) is adding two new billing codes for Screening, Brief Intervention, and Referral to Treatment (SBIRT) services for substance abuse screening. These services can be billed separately from E&M visits with proper documentation and must use validated screening tools.

Action Required

Action needed
Immediately: Billing team must add CPT codes 99408 ($22.40 for 15-30 minutes) and 99409 ($43.01 for 30+ minutes) to fee schedules for Connecticut Medicaid patients. Update billing software to allow these codes with modifier 25 when billed same day as E&M visits. Train providers to document screening tool used, score obtained, time spent, and actions taken. Ensure practitioners sign and date all SBIRT documentation.

Affected Billing Codes

99408
99409
25