Appendix E - National Coverage Determinations Manual / TREATMENT_OF_ALCOHOLISM_AND_DRUG_ABUSE_IN_A_FREESTANDING_CLINIC

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This page explains the scope of Medicare coverage for treatment services related to alcoholism and drug abuse when furnished in a freestanding clinic incident to a physician’s professional service. It is relevant to coding and reimbursement professionals, clinic billers, and compliance staff who need to understand the coverage context, the related manual references, and the general conditions under which these services are considered.

Why This Topic Matters

It helps readers identify when this category of clinic-based substance use treatment falls within Medicare coverage policy and where related manual guidance must also be consulted.

Article Sections

  1. Treatment of Alcoholism and Drug Abuse in a Freestanding Clinic 130.5

    Discusses Medicare coverage scope for freestanding-clinic treatment services related to alcoholism and drug abuse. References related manual provisions and general coverage context.

What You Will Learn

  • The general Medicare coverage context for freestanding clinic treatment services related to alcoholism and drug abuse
  • How the article situates this topic within broader Medicare manual guidance
  • Which policy areas and manual references are associated with this coverage topic
  • The kinds of clinic-based services discussed at a high level

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Clinic administrators
  • Revenue cycle staff

Codes Discussed


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