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Thread: Smoking Cessation

  1. #11
    Join Date
    Apr 2007


    AAPC: Back to School
    Quote Originally Posted by TCarrasco View Post
    Hi All,

    We hava a provider that insists on billing smoking cessation to 7yr olds, 23 month olds, and even newborns! He says that he is counseling the parents and should be able to bill for these services. Since these are new codes to our practice, I am not sure if he can do this. Most of the patients he sees are on Medicaid. Please if anyone could help me, I would greatly appreciate it!!
    What is your provider thinking? The term "smoking cessation" alone means one who wants to quit smoking. Please print off the smoking cessation pamphlet that is on the CMS website, which explains the necessity of the codes. Medicare is also strict on the underlying condition(s) of a person that smokes (ie: asthma, COPD). So the diagnosis 305.1 - tobacco use disorder may be coded 2nd or 3rd, but the underlying condition should be primary. Wisconsin Medicaid does not pay for this code.
    Evangelina Frohna, CPC, CEMC

  2. #12


    We have billed medicare for a G0436 along with a 99213 and have been denied. Is there a certain ICD-10 we should use with these?

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