What is CPT code for smoking cessation?
99406
CPT codes for Smoking Cessation
| Code | Description | 2021 wRVU |
|---|---|---|
| 99406 | Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes | 0.24 |
| 99407 | greater than 10 minutes | 0.50 |
Is CPT 99407 covered by Medicare?
Smoking Cessation Counseling Codes 99406 and 99407 Medicare covers 2 cessation attempts per 12-month period. 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.
What is the ICD 10 code for smoking counseling?
Z71.6
Tobacco abuse counseling. Z71. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
How often can Smoking Cessation be billed?
The 2019 CMS guidelines state that Medicare covers two cessation attempts per 12-month period. Each attempt includes a maximum of up to four intermediate (99406) or intensive (99407) counseling sessions, with a total Medicare benefit of eight sessions per year.
Can CPT code 99406 be billed with 99407?
In the body of the note, the clinician must document the time of the counseling. The CPT codes for smoking cessation (99406 and 99407) are used for all payers for patients who are symptomatic as a result of smoking.
How often can you bill for smoking cessation?
Which code can be used for asymptomatic or physician’s office for smoking and tobacco use cessation counseling visits for more than 10 minutes?
Note: G codes are for asymptomatic patient counseling in the physician office setting; C codes are for asymptomatic patient counseling in the hospital outpatient setting. ❖ 99406 – Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes.
What is the CPT for smoking cessation counseling?
99406 – Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 99407 – Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes
What is the E / M code for smoking cessation?
99406 – Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes. 99407 – Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes. A modifier 25 may be appropriate to append to the primary E/M visit code.
What is the ICD-10 CM Smoking Prevention coding code?
HCPCS/CPT Code Type of Counseling Description. 99406 Intermediate Smoking and tobacco use cessation counseling visit is greater than three minutes, but not more than 10 minutes 99407 Intensive Smoking and tobacco use cessation counseling visit is greater than 10 minutes. ICD-10 CM Diagnosis Code Description.
Do you have to report smoking cessation services?
Patients must be competent and alert at the time that services are provided” (“ Decision Memo for Smoking & Tobacco Use Cessation Counseling ,” CMS). This service is reportable at the same time as an evaluation and management (E&M) service; however, the E&M service must be distinct and separate.