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1 cze 2021 · Effective April 1, 2019, only the revised 01-18 version will be accepted for the Form CMS-1490S. The provided link below includes the form and all the applicable instructions. Please read all instructions prior to submitting a claim to Medicare.
Send the completed form and supporting documentation to your Medicare contractor. Reference the Medicare Administrative Contractor Address table for the correct address to mail your claim form.
Claims for counseling to prevent tobacco use services shall be submitted with an applicable diagnosis code: ICD-9-CM (prior to October 1, 2015) V15.82, personal history of tobacco use, or 305.1, non-dependent tobacco use disorder 989.84, toxic effect of tobacco.
Medicare Part B (provider component) covers two levels of tobacco cessation counseling for symptomatic and asymptomatic patients: intermediate (great than 3 minutes but no more than 10 minutes) and intensive (greater than 10 minutes).
Medicare suggests the use of codes 99406 and 99407. Copayment and deductibles are now waived for codes 99406 and 99407. The Medicare beneficiary has a zero dollar out-of-pocket liability. HCPCS/CPT Code Type of Counseling Description Medicare Reimbursement Rate 99406 Intermediate Smoking and tobacco use cessation counseling visit is greater
1 lip 2016 · The Centers for Medicare & Medicaid Services (CMS) set a standard for coverage (which commercial payers may not follow). Per MLN Matters ® article MM7133, CMS will cover tobacco cessation counseling for beneficiaries: Who use tobacco (regardless of whether they have signs or symptoms of tobacco-related disease);
8 paź 2024 · CPT ® codes for Smoking Cessation. The following codes are used to report counseling by a physician or non-physician practitioner with a patient for smoking cessation: Code 99407 is not an add-on code. It should never be reported with 99406, according to CPT parenthetical notes. Only report the code that corresponds to the amount of time spent.
