# CPT 99408: Alcohol and/or substance abuse structured screening and brief intervention, 15-30 minutes

Medicare CPT 99408 pays $35.07 in a non-facility setting and $27.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $32.73 in Arkansas to $46.11 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/99408-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Evaluation, Methadone Clinic

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $35.07 |
| National facility | $27.72 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $46.11 | $38.28 |
| District of Columbia | $38.53 | $29.88 |
| New York | $37.97 | $29.77 |
| New Jersey | $37.82 | $29.54 |
| California | $37.44 | $28.75 |
| Washington | $37.16 | $28.78 |
| Massachusetts | $36.97 | $28.71 |
| Connecticut | $36.71 | $28.80 |
| Florida | $36.38 | $29.00 |
| Hawaii | $36.16 | $27.80 |
| Maryland | $35.97 | $28.31 |
| Illinois | $35.96 | $28.86 |
| Colorado | $35.81 | $27.99 |
| Rhode Island | $35.74 | $28.15 |
| Oregon | $35.52 | $27.78 |
| New Hampshire | $35.40 | $27.75 |
| Puerto Rico | $35.18 | $27.75 |
| Virgin Islands | $35.18 | $27.75 |
| Pennsylvania | $35.11 | $27.92 |
| Montana | $35.07 | $27.72 |
| Texas | $34.91 | $27.68 |
| Delaware | $34.90 | $27.64 |
| Michigan | $34.89 | $27.99 |
| Nevada | $34.86 | $27.50 |
| Georgia | $34.82 | $27.80 |
| Wyoming | $34.72 | $27.38 |
| Arizona | $34.51 | $27.39 |
| Minnesota | $34.48 | $26.92 |
| Virginia | $34.47 | $27.25 |
| New Mexico | $34.34 | $27.60 |
| Vermont | $34.29 | $27.02 |
| North Dakota | $34.28 | $26.93 |
| Utah | $34.21 | $27.31 |
| South Dakota | $34.18 | $26.84 |
| Louisiana | $34.09 | $27.38 |
| West Virginia | $34.07 | $27.69 |
| Missouri | $34.06 | $27.32 |
| Ohio | $34.04 | $27.33 |
| Maine | $34.03 | $27.02 |
| South Carolina | $33.96 | $27.17 |
| North Carolina | $33.78 | $26.93 |
| Wisconsin | $33.64 | $26.60 |
| Kentucky | $33.62 | $27.09 |
| Indiana | $33.51 | $26.69 |
| Oklahoma | $33.49 | $26.92 |
| Idaho | $33.40 | $26.64 |
| Tennessee | $33.36 | $26.68 |
| Nebraska | $33.31 | $26.53 |
| Kansas | $33.25 | $26.61 |
| Iowa | $33.24 | $26.52 |
| Mississippi | $33.05 | $26.72 |
| Alabama | $32.99 | $26.56 |
| Arkansas | $32.73 | $26.42 |

## Related codes

- 99401: Preventive medicine counseling, individual, approximately 15 minutes — https://www.med-reveal.com/rates/99401-cpt-fee-schedule
- 99402: Preventive medicine counseling, individual, approximately 30 minutes — https://www.med-reveal.com/rates/99402-cpt-fee-schedule
- 99403: Preventive medicine counseling, individual, approximately 45 minutes — https://www.med-reveal.com/rates/99403-cpt-fee-schedule
- 99404: Preventive medicine counseling, individual, approximately 60 minutes — https://www.med-reveal.com/rates/99404-cpt-fee-schedule
- 99406: Smoking and tobacco use cessation counseling, 3-10 minutes — https://www.med-reveal.com/rates/99406-cpt-fee-schedule
- 99407: Smoking and tobacco use cessation counseling, greater than 10 minutes — https://www.med-reveal.com/rates/99407-cpt-fee-schedule
- 99409: Alcohol and/or substance abuse structured screening and brief intervention, greater than 30 minutes — https://www.med-reveal.com/rates/99409-cpt-fee-schedule
- 99411: Preventive medicine counseling, group, approximately 30 minutes — https://www.med-reveal.com/rates/99411-cpt-fee-schedule

Commercial negotiated rates for 99408 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules