Reimbursement
$16.37
Threshold
N/A
2026 Status
Active
What is CPT Code G0442?
CPT G0442 is defined as: Annual alcohol misuse screening, 15 minutes.
This code is primarily used for Preventive services. It falls under the category of Preventive Medicine and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.
2026 RVU Components
Relative Value Units (Non-Facility)
Work RVU
0.18
Physician Effort
PE (Non-Fac)
0.3
Practice Expense
Malpractice
0.01
Risk Factor
Total RVU
0.49
Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor
2026 CMS Policy Intelligence
efficiency shield
Protected from the -2.5% productivity adjustment (Preventive service).
integration
Ideal for inclusion in Annual Wellness Visits (AWV) to maximize clinical touchpoints.
Administrative Framework
Place of Service
Key Modifiers
Operational Requirements
Standard CMS E/M requirements apply.
Compliance Checklist
Audit Defense
screening tool
Reference the tool used (e.g., AUDIT, AUDIT-C, or SMAST).
patient education
Note that results and risks were discussed with the patient.
Common Clinical Scenarios
No clinical examples provided.
Target Specialties & Utilization
Typical Clinical Indications (ICD-10)
Frequently Asked Questions
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