Tobacco abuse counseling. Z71.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z71.6 became effective on October 1, 2018.
Mar 30, 2016 · Code: Z72.0 Code Name: ICD-10 Code for Tobacco use Block: Persons encountering health services in other circumstances (Z69-Z76) Details: Tobacco use Tobacco use NOS Excludes 1: history of tobacco dependence (Z87.891) nicotine dependence (F17.2-) tobacco dependence (F17.2-) tobacco use during pregnancy (O99.33-) Z72
ICD-10-CM Diagnosis Code O99.33 Tobacco use disorder complicating pregnancy, childbirth, and the puerperium 2016 2017 - Revised Code 2018 2019 …
Oct 01, 2021 · Tobacco abuse counseling. Z71.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z71.6 became effective on October 1, 2021. This is the American ICD-10-CM version of Z71.6 - other international versions of ICD-10 Z71.6 may differ.
ICD-10-CM Diagnosis Code Y36.89 Unspecified war operations occurring after cessation of hostilities Unsp war operations occurring after cessation of hostilities ICD-10-CM Diagnosis Code Z57.31 [convert to ICD-9-CM] Occupational exposure to environmental tobacco smoke exposure to environmental tobacco smoke (Z77.22) ICD-10-CM Diagnosis Code T65.22
Code | Description | Total National facility RVUs |
---|---|---|
99406 | Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes | 0.35 |
99407 | greater than 10 minutes | 0.74 |
Reimbursement may be possible if you bill the patient’s insurance company correctly. Medicare covers 2 cess ation 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.
Manny Oliverez, CPC, is a 20-year healthcare veteran and the CEO and co-founder of Capture Billing, a medical billing services company located outside of Washington, D.C. He teaches the nation’s physicians, administrators, and medical practices how to maximize billing and revenue cycle management processes. Manny also frequently posts articles and videos on his award-winning healthcare blog. For more information on Manny and his company, please visit his website, or call (703)327-1800. And if you’re on LinkedIn, please look for him there too.READ MORE
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).
ICD-10 codes are used by physicians and other health care providers to classify and code all diagnoses, symptoms, and procedures in U.S. health care settings on claims for services provided. These codes are used by payers to determine coverage, not the amount that will be paid. Separately, payers have schedules which match the codes to the specific provider’s negotiated rate.
Tobacco use status is now embedded in most of the major electronic health records and evidence-based tobacco cessation counseling and pharmacotherapy covered by Medicare, Medicaid and most private health plans. Despite improved documentation and coverage, few providers bill for cessation services.
The Affordable Care Act (ACA) expanded tobacco cessation coverage for the Medicaid population, but gives states the ability to distinguish between the standard Medicaid and Medicaid expansion populations in terms of cessation coverage.
Medicaid managed care organizations (MCOs) are required to provide at least a comparable level of benefits to the fee-for-service option (77 percent of state Medicaid recipients are currently served by Medicaid MCOs).
It provides a uniform mechanism for describing services and procedures among providers, payers, and patients, as well as coders and analytical entities. For this document, CPT establishes what services or procedures have been provided and the basis for payment by payers.
Similar to the CPT code set, HCPCS is a standardized coding set used by the Centers for Medicare and Medicaid Services, as well as other payers. Like CPT, it includes three levels or categories of codes: