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
- Initial Consultation: Patient discusses substance use history and behavior with a healthcare professional.
- Structured Assessment: Use of standardized tools/questionnaires to evaluate substance use patterns.
- Brief Intervention: Discussion and motivational interviewing aiming to raise awareness of substance abuse risks and benefits of change.
- 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.