# CPT 99409: Alcohol and/or substance abuse structured screening and brief intervention, greater than 30 minutes

Medicare CPT 99409 pays $67.47 in a non-facility setting and $55.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $63.27 in Arkansas to $89.54 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/99409-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Evaluation, Methadone Clinic

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $67.47 |
| National facility | $55.45 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $89.54 | $76.74 |
| District of Columbia | $73.94 | $59.78 |
| New York | $72.88 | $59.46 |
| New Jersey | $72.64 | $59.10 |
| California | $71.94 | $57.71 |
| Washington | $71.38 | $57.68 |
| Massachusetts | $71.02 | $57.52 |
| Connecticut | $70.50 | $57.55 |
| Florida | $69.75 | $57.69 |
| Hawaii | $69.46 | $55.79 |
| Maryland | $69.13 | $56.60 |
| Illinois | $69.02 | $57.40 |
| Colorado | $68.87 | $56.07 |
| Rhode Island | $68.76 | $56.34 |
| Oregon | $68.34 | $55.67 |
| New Hampshire | $68.07 | $55.55 |
| Puerto Rico | $67.67 | $55.52 |
| Virgin Islands | $67.67 | $55.52 |
| Pennsylvania | $67.58 | $55.80 |
| Montana | $67.47 | $55.44 |
| Texas | $67.21 | $55.37 |
| Delaware | $67.19 | $55.31 |
| Michigan | $67.10 | $55.81 |
| Nevada | $67.10 | $55.06 |
| Georgia | $67.00 | $55.53 |
| Wyoming | $66.86 | $54.84 |
| Arizona | $66.46 | $54.81 |
| Minnesota | $66.45 | $54.08 |
| Virginia | $66.41 | $54.59 |
| New Mexico | $66.14 | $55.11 |
| Vermont | $66.10 | $54.19 |
| North Dakota | $66.08 | $54.06 |
| Utah | $65.93 | $54.63 |
| South Dakota | $65.92 | $53.89 |
| Louisiana | $65.69 | $54.71 |
| Missouri | $65.64 | $54.61 |
| Maine | $65.63 | $54.15 |
| West Virginia | $65.63 | $55.18 |
| Ohio | $65.60 | $54.62 |
| South Carolina | $65.47 | $54.36 |
| North Carolina | $65.17 | $53.95 |
| Wisconsin | $64.94 | $53.42 |
| Kentucky | $64.86 | $54.17 |
| Indiana | $64.68 | $53.54 |
| Oklahoma | $64.63 | $53.89 |
| Idaho | $64.50 | $53.44 |
| Tennessee | $64.41 | $53.48 |
| Nebraska | $64.34 | $53.25 |
| Kansas | $64.23 | $53.36 |
| Iowa | $64.21 | $53.21 |
| Mississippi | $63.84 | $53.49 |
| Alabama | $63.74 | $53.22 |
| Arkansas | $63.27 | $52.95 |

## 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
- 99408: Alcohol and/or substance abuse structured screening and brief intervention, 15-30 minutes — https://www.med-reveal.com/rates/99408-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 99409 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