Line of business: BlueAlliance (Commercial) & BlueAlliance Care+ (Medicaid)
Percentage of members 18 years of age and older who were screened for unhealthy alcohol use using a standardized instrument and, if screened positive, received appropriate follow-up care.
Members 18 years and older at the start of the measurement period.
January 1 – December 31
Eligible unhealthy alcohol use screening instruments with thresholds for positive findings:
Screening Instrument | Positive Finding |
Alcohol Use Disorders Identification Test (AUDIT) screening instrument | Total score ≥8 |
Alcohol Use Disorders Identification Test Consumption (AUDIT-C) screening instrument | Total score ≥4 for men Total score ≥3 for women |
Single-question screen (for men): | Response ≥1 |
Single-question screen (for women and all adults older than 65 years): | Response ≥1 |
Any of the following meet compliance for follow-up on or up to 60 days after the first positive screen:
(ICD-10-CM code).
99408 | 99409 | H0022 | H0050 |
H0007 | H0005 | H0015 | H0016 |
H2036 | H2035 | G0396 | G2011 |
G0397 | T1006 | T1012 | G0443 |
Z71.41
The analysis of any medical coding question related to a measure is dependent on the measure’s technical specifications including the factual situations present related to the member, the practice, the professionals, and the medical services provided.
Should you have specific coding or other questions related to the measure, please send your questions to BlueAlliance@bcbsnd.com.
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