Reader Question:
99406 Matches to Symptomatic Patient
Published on Mon May 14, 2012
Question: How do we code for smoking cessation counseling? What are the criteria used to determine coverage? New York SubscriberAnswer: Many payers provide coverage for tobacco-use cessation counseling. For Medicare Part B, and those who follow its rules, proper coding depends on whether the patient has signs or symptoms of tobacco-related disease. For a patient diagnosed with or showing signs/symptoms of a tobacco-related disease, you should report one of the following to Medicare, based on the length of the individual session: 99406, Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 99407, ... intensive, greater than 10 minutes.For asymptomatic patients, Medicare provides two different codes for counseling:G0436, Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutesG0437, ... intensive, greater than 10 minutes.Medicare requires one of the following diagnosis codes to accompany the G codes:305.1, [...]
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