specifically, in ICD-9, providers commonly used diagnosis code 305.1 (tobacco use disorder) or V15. 82 (history of tobacco use) depending on the status of the patient as a current or former tobacco user.
Nicotine dependence, other tobacco product, uncomplicated The 2022 edition of ICD-10-CM F17. 290 became effective on October 1, 2021.
2 tobacco dependence or Z72 tobacco use code) Z71. 6 Counseling and Medical Advice – tobacco abuse counseling.
Nicotine dependence, unspecified, uncomplicated The 2022 edition of ICD-10-CM F17. 200 became effective on October 1, 2021.
Overview. Nicotine dependence occurs when you need nicotine and can't stop using it. Nicotine is the chemical in tobacco that makes it hard to quit. Nicotine produces pleasing effects in your brain, but these effects are temporary. So you reach for another cigarette.
A type of tobacco that is not smoked or burned. It may be used as chewing tobacco or moist snuff, or inhaled through the nose as dry snuff. Smokeless tobacco contains nicotine and many harmful, cancer-causing chemicals. Using it can lead to nicotine addiction and can cause cancers of the mouth, esophagus, and pancreas.
Nicotine dependence2022 ICD-10-CM Diagnosis Code F17: Nicotine dependence.
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.
CPT codes for Smoking CessationCodeDescriptionTotal National facility RVUs99406Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes0.3599407greater than 10 minutes0.74Feb 1, 2022
Nicotine dependence is a state of dependence upon nicotine. Nicotine dependence is a chronic, relapsing disease defined as a compulsive craving to use the drug, despite social consequences, loss of control over drug intake, and emergence of withdrawal symptoms.
Z87.891Personal history of nicotine dependence Z87. 891 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 Z87. 891 became effective on October 1, 2021.
✓ Be as specific as possible when documenting current and past history of nicotine use/dependence. for example, document “quit smoking cigarettes in 2014” or “quit cigars at age 42,” rather than just “quit smoking” or “does not currently use tobacco.”
So how many people know that, at least as far as the AMA is concerned, you can bill a 99396 and a 99406 (smoking cessation code) at the same session? While tables such as CCI exist, there are many combinations that you might not think to bill together, or that the language of the codes seems to steer you away from.
ProvidersCPT 99401 can be billed at only one visit for each beneficiary per day, but there are not quantity limits for the number of times this education is provided to an individual beneficiary. Providers must bill CPT 99401 with a CR modifier and there is no requirement for a specific diagnosis code.