smoking cessation

  1. R

    Wiki smoking cessation - what is required to bill the cpt

    A patient with no history of smoking or drinking presents to the emergency department for vaginal bleeding. By diagnostic she was found to be pregnant and evaluated and treated for this condition. Provider documented the note to reflect the presenting problem, tests were ordered and reviewed and...
  2. Rebecca Pate

    Wiki 99406 and Desire to quit

    My question is this: Does the patient have to have a desire to quit smoking in order to bill 99406? I am seeing documentation stating "patient is not ready to quit". 🚬:unsure:
  3. buskeys

    Wiki 99406!!! This code haunts me

    Please give any advice with 99406! We have so many issues with it. We have established what is and isn't medically necessary (providers are still not fully understanding that). We have had issues with modifier usage on this, time documentation, etc. I don't know why this code haunts me in every...
  4. W

    Wiki Smoking Cessation Question

    I am extremely good at coding for this and I have much knowledge in what should be notated in order for this to be billed (99406 & 99407). I know that time MUST be notated, however I have a provider who suddenly started notating "spent 3-10 minutes performing smoking cessation counseling". Is...
  5. M

    Wiki E/M Office Visit with G0436 Smoking Cessation to Medicare

    We are billing e/m such as 99214 with G0436 and Medicare is denying the 99214 stating CO50 medical necessity, M25 information doesn't support level of service and N386 denied based on NCD. I called Medicare and the NCD they reference is 210.4.1. I asked rep if it is due to DX and she said...
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