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Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes

HCPCS code

Name of the Procedure:

Alcohol and/or Substance (other than tobacco) Abuse Structured Assessment and Brief Intervention (G0396)

Common Names: Alcohol and Drug Assessment, Substance Abuse Screening Technical/Medical Terms: Structured Assessment, Brief Intervention

Summary

This procedure involves a structured assessment of a person's alcohol and/or substance abuse (excluding tobacco) using standardized tools. It includes a brief intervention that typically lasts between 15 to 30 minutes to help patients recognize their substance use and motivate them toward healthier behaviors.

Purpose

Medical Conditions: Alcohol abuse, drug abuse, substance use disorders (excluding tobacco) Goals/Expected Outcomes: Identify substance use patterns, assess risk, reduce substance abuse, and motivate behavior change leading to healthier lifestyle choices.

Indications

Symptoms/Conditions: Frequent intoxication, withdrawal symptoms, risky behavior due to substance use, neglect of responsibilities, health issues related to substance use. Patient Criteria: Adolescents and adults with suspected or known substance use issues; those identified through screening methods or with concerning behavior.

Preparation

Pre-procedure Instructions: No special preparations required. Diagnostic Tests/Assessments: May include preliminary screening questionnaires like the AUDIT (Alcohol Use Disorders Identification Test) or DAST (Drug Abuse Screening Test).

Procedure Description

  1. Initial Consultation: Patient discusses substance use history and behavior with a healthcare professional.
  2. Structured Assessment: Use of standardized tools/questionnaires to evaluate substance use patterns.
  3. Brief Intervention: Discussion and motivational interviewing aiming to raise awareness of substance abuse risks and benefits of change.
  4. Planning: Providing resources, referrals, and creating a follow-up plan if needed.

Tools/Equipment: Standardized assessment tools (AUDIT, DAST), counseling resources. Anesthesia/Sedation: Not applicable.

Duration

Typically takes between 15 to 30 minutes.

Setting

This procedure is performed in various healthcare settings, including outpatient clinics, primary care offices, and community health centers.

Personnel

Involved healthcare professionals may include:

  • Physicians
  • Nurse practitioners
  • Mental health counselors
  • Substance abuse counselors

Risks and Complications

Common Risks: Emotional discomfort, possible resistance to discussing substance use. Rare Risks: Significant emotional distress prompting immediate need for more intensive intervention.

Benefits

Expected benefits include early identification of substance misuse issues and initiation of steps toward behavior change and improved health outcomes. Benefits can be realized almost immediately in the form of increased awareness and motivation.

Recovery

Post-procedure Care: No specific recovery care needed. Encouragement to follow through with any referrals or resources provided. Expected Recovery Time: Not applicable. Restrictions/Follow-up: Follow-up appointments as needed based on individual patient need.

Alternatives

Other Treatment Options:

  • Full addiction assessment and treatment programs
  • Outpatient therapy and counseling
  • Support groups (e.g., AA, NA)

Pros and Cons:

  • Assessment and Intervention: Quick and accessible but may not suffice for severe cases.
  • Full Programs: More comprehensive but require time and commitment.

Patient Experience

During the Procedure: Patients may feel apprehensive or uncomfortable discussing their substance use but will be guided with empathy and confidentiality. After the Procedure: They might experience a sense of relief and clearer understanding of their substance use habits. Pain is not typically associated, and comfort measures include supportive dialogue from the healthcare provider.

Medical Policies and Guidelines for Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes

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