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Effective January 1, 2016, use CPT code 81528 when billing for the Cologuard™ test (note that your MAC will accept HCPCS code G0464 for claims with dates of service on or before December 31, 2015).
CPT codes 99406 and 99407 are the remaining codes for tobacco cessation counseling.
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).
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.
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 receive counseling furnished by a qualified physician or other Medicare-recognized practitioner.
26 kwi 2019 · Code for the wellness visit. An initial preventive physical exam (IPPE, or Welcome to Medicare visit) is a one-time physical exam performed within the first 12 months of a patient’s...
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.
