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
In healthcare, diagnosis codes are used as a tool to group and identify diseases, disorders, symptoms, poisonings, adverse effects of drugs & chemicals, injuries and other reasons for patient encounters. Diagnostic coding is the translation of written descriptions of diseases, illnesses and injuries into codes from a particular classification.
With the implementation of ICD-10, nicotine dependence (Category F17) has 20 codes that are broken up to identify the specific tobacco product used – unspecified, cigarettes, chewing tobacco and other tobacco products. This KMA Resource Guide provides additional detail on important changes related to coding tobacco use, abuse and dependence.
Note that as of Sept. 30, 2016, HCPCS codes G0436 and G0437 for smoking cessation have been deleted. Some commonly used ICD-10 diagnosis codes (if appropriate, given your patient’s situation) may include the following: F17.200 Nicotine dependence, unspecified, uncomplicated (some payers find this code not medically necessary.
Electronic cigarettes are battery-powered vaporizer devices that turn liquid nicotine into a vapor that can be inhaled. ICD-10 refers us to nicotine – see tobacco. F17.2 Nicotine dependence Category F17.20 is used to identify unspecified nicotine dependence F17.200 Nicotine dependence, unspecified, uncomplicated
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
F17. 201 Nicotine dependence, unspecified, in remission. F17. 210 Nicotine dependence, cigarettes, uncomplicated.
F17. 203 - Nicotine dependence unspecified, with withdrawal | ICD-10-CM.
The CPT codes for smoking cessation (99406 and 99407) are used for all payers for patients who are symptomatic as a result of smoking.
ICD-10 code F17. 200 for Nicotine dependence, unspecified, uncomplicated is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
CMS has advised its Medicare contractors to replace code G0436 with CPT code 99406 (Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes) and replace code G0437 with CPT code 99407 (Smoking and tobacco use cessation counseling visit; intensive, greater than 10 ...
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.
Clinicians should use the code representing “other tobacco product” when the specific type of nicotine product is unknown or does not fall into the category of cigarettes or chewing tobacco.
To quit smoking. Smoking cessation lowers the risk of cancer and other serious health problems. Counseling, behavior therapy, medicines, and nicotine-containing products, such as nicotine patches, gum, lozenges, inhalers, and nasal sprays, may be used to help a person quit smoking.
CPT® 4004F, Under Therapeutic, Preventive or Other Interventions. The Current Procedural Terminology (CPT®) code 4004F as maintained by American Medical Association, is a medical procedural code under the range - Therapeutic, Preventive or Other Interventions.
A screening colonoscopy should be reported with the following International Classification of Diseases, 10th edition (ICD-10) codes: Z12. 11: Encounter for screening for malignant neoplasm of the colon.
Modifier 25 is used to facilitate billing of E/M services on the day of a procedure for which separate payment may be made. It is used to report a significant, separately identifiable E/M service by the same physician on the day of a procedure.
Preventative medicine counselingCPT 99401: Preventative medicine counseling and/or risk factor reduction intervention(s) provided to an individual, up to 15 minutes may be used to counsel commercial members regarding the benefits of receiving the COVID-19 vaccine.
To allow payment in this circumstance, providers should append a “25” modifier for 99406 or 99407 codes. Magnolia Health (MH) indicates that 99406 and 99407 are reimbursed with no modifier or diagnosis limitations.
Summary. The provider screens a patient of 18 years of age or older for the use of tobacco. Use this code if the provider identifies the patient to be a nonuser of tobacco.