Our clinic also received denials for 99406 with F17.200. Look at NCD 210.41 in the Medicare Learning Network and you will see Medicare has very specific ICD codes to allow payment of this service.

We started documenting the type of tobacco product used since Medicare does not accept F17.200-F17.209.

We are not sure why they don't accept them since they iterate that they will cover patients who " Use tobacco, regardless of whether they exhibit signs or symptoms of tobacco-related disease. "

Alas, going forward we will be prepared.