Guidelines

What does CPT code 99406 mean?

What does CPT code 99406 mean?

Smoking and tobacco use cessation counseling visit
The CPT codes for billing for smoking cessation include: 99406 – Smoking and tobacco use cessation counseling visit; intermediate, greater than three minutes, up to 10 minutes. 99407 – Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes.

What modifier goes with 99406?

modifier 25
Smoking Cessation Counseling Codes 99406 and 99407 Each attempt includes a maximum of up to 4 intermediate (99406) or intensive (99407) counseling sessions, with a total Medicare benefit of 8 sessions per year. A modifier 25 may be appropriate to append to the primary E/M visit code.

Is G0436 a valid CPT code?

1, CMS will no longer consider valid for Medicare purposes CPT codes G0436 (Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes) and G0437 (Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than …

Does 99406 need a modifier?

To allow payment in this circumstance, providers should append a “25” modifier for 99406 or 99407 codes. Magnolia Health (MH) indicates that 99406 and 99407 are reimbursed with no modifier or diagnosis limitations. The codes are payable on the physician side, but are not covered for outpatient facility claims.

What is CPT 4004F?

Performance Met: CPT II 4004F: Patient screened for tobacco use AND received tobacco. cessation intervention (counseling, pharmacotherapy, or. both), if identified as a tobacco user.

What is CPT G0436?

CPT Code. G0436. Smoking and tobacco use cessation. counseling visit; intermediate, greater. than 3 minutes up to 10 minutes.

What is procedure code 99441?

99441: telephone E/M service; 5-10 minutes of medical discussion.

How do you code tobacco abuse?

  1. KMA Resource Guide.
  2. ICD-10 Coding for Tobacco Use/Abuse/Dependence.
  3. Category F17.21 is used to identify nicotine.
  4. dependence with cigarettes.
  5. Category F17.22 is used to identify nicotine.
  6. dependence with chewing tobacco.
  7. Category F17.29 is used to identify nicotine.
  8. dependence with other tobacco products.