`G0442` Annual alcohol screen 15 min

What G0442 is

Annual alcohol misuse screening, 5 to 15 minutes

HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.

Medicare payment for G0442 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	0.18	0.37	0.01	0.56	$18.70
Facility (hospital, ASC)	0.18	0.05	0.01	0.24	$8.02

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.

Adjust for a Medicare locality:

Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps G0442 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with G0442? These codes are bundled into it

G0442 is a Column 1 code in 79 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Short description	Modifier indicator
`0362T`	Bhv id suprt assmt ea 15 min	1 - modifier may bypass	Check pair
`0373T`	Adapt bhv tx ea 15 min	1 - modifier may bypass	Check pair
`0403T`	Diabetes prev standard curr	1 - modifier may bypass	Check pair
`0469T`	Rta polarize scan oc scr bi	0 - no modifier bypass	Check pair
`0488T`	Diabetes prev online/elec	1 - modifier may bypass	Check pair
`0903T`	Ecg alg 12 lead reduced i&r	1 - modifier may bypass	Check pair
`0904T`	Ecg alg 12 ld rdcd trcg only	1 - modifier may bypass	Check pair
`0905T`	Ecg alg 12 ld rdcd i&r only	1 - modifier may bypass	Check pair
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`92002`	Intrm oph exam new patient	1 - modifier may bypass	Check pair
`92004`	Compre oph exam new pt 1/>	1 - modifier may bypass	Check pair
`92012`	Intrm oph exam est patient	1 - modifier may bypass	Check pair
`92014`	Compre oph exam est pt 1/>	1 - modifier may bypass	Check pair
`93000`	Electrocardiogram complete	1 - modifier may bypass	Check pair
`93005`	Electrocardiogram tracing	1 - modifier may bypass	Check pair
`93010`	Electrocardiogram report	1 - modifier may bypass	Check pair
`93040`	Rhythm ecg with report	1 - modifier may bypass	Check pair
`93041`	Rhythm ecg tracing	1 - modifier may bypass	Check pair
`93042`	Rhythm ecg report	1 - modifier may bypass	Check pair
`93792`	Pt/caregiver traing home inr	1 - modifier may bypass	Check pair
`93793`	Anticoag mgmt pt warfarin	0 - no modifier bypass	Check pair
`94002`	Vent mgmt inpat init day	0 - no modifier bypass	Check pair
`94003`	Vent mgmt inpat subq day	0 - no modifier bypass	Check pair
`94004`	Vent mgmt nf per day	0 - no modifier bypass	Check pair
`94660`	Cpap initiation&mgmt	0 - no modifier bypass	Check pair
`95851`	Range of motion measurements	1 - modifier may bypass	Check pair
`95852`	Range of motion measurements	1 - modifier may bypass	Check pair
`96116`	Nubhvl xm phys/qhp 1st hr	1 - modifier may bypass	Check pair
`96127`	Brief emotional/behav assmt	0 - no modifier bypass	Check pair

Showing 30 of 79 column 2 codes. Use the pair checker for any specific combination.

G0442 is bundled into these codes

G0442 appears as a Column 2 code in 224 active edits. Reported with one of these Column 1 codes on the same date of service, G0442 is the code that denies.

Column 1 code	Short description	Modifier indicator
`0395T`	Hdr elctr ntrst/ntrcv brchtx	0	Check pair
`0944T`	3d cntr simula trgt lvr les	1	Check pair
`77261`	Ther radiology tx plng smpl	1	Check pair
`77262`	Ther radiology tx plng intrm	1	Check pair
`77263`	Ther radiology tx plng cplx	1	Check pair
`77280`	Ther rad simulaj field smpl	1	Check pair
`77285`	Ther rad simulaj field intrm	1	Check pair
`77290`	Ther rad simulaj field cplx	1	Check pair
`77293`	Respirator motion mgmt simul	1	Check pair
`77295`	3-d radiotherapy plan	1	Check pair
`77300`	Radiation therapy dose plan	1	Check pair
`77301`	Radiotherapy dose plan imrt	1	Check pair
`77306`	Telethx isodose plan simple	1	Check pair
`77307`	Telethx isodose plan cplx	1	Check pair
`77316`	Brachytx isodose plan simple	1	Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.