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Thread: dx code tobacco screening

  1. #1

    Default dx code tobacco screening

    AAPC: Back to School
    Can anyone help me I need an appropriate dx code for the screening of tobacco use that insurance co requires? Thanks for any help I can get.

  2. #2
    Join Date
    Apr 2007
    Lubbock, TX


    V70.3, and I'd use modifier 32 on the CPT, in case they don't have routine coverage.

  3. #3
    Join Date
    Apr 2007
    Lubbock, TX

    Exclamation Actually...

    Something from V72.6X may be more specific - like V72.63. I got V70.3 by looking up Screening, then Drug (It only had drug use by athletes, but I figured it was a place to start...) - Then I saw "insurance certification" under V70.3. But V72.6X is for blood/UA labs ordered as part of routine exam.

  4. #4

    Default ICD:V70.3 +(Screening) V82.89

    Quote Originally Posted by paynecoder1 View Post
    Can anyone help me I need an appropriate dx code for the screening of tobacco use that insurance co requires? Thanks for any help I can get.
    I'd like to add v82.89 to Brandi Tadlock's ICD choice v70.3.

    V70 categoty- General medical examination
    Use additional code[s] to identify any special screening examination[s] performed [V73.0-V82.9]

    Per the official ICD-9 Guidelines, I'd code V70.3 + V82.89

    Indication for screening (r/v) is "Insurance co requirement"-v70.3

    Pls look up
    Examination/medical [for] [of] insurance certification-V70.3 +
    Special screening for other specified condition-v82.89

    Need to look up for any H/O tobacco use(V15.82)/or counseling substance abuse(v65.42) done

    Last edited by msrd_081002; 01-02-2011 at 07:36 PM.

  5. #5
    Join Date
    Apr 2007

    Default Questions within the tobacco screening question.

    was this a screening to be added to an e/m code? If so, my question is how do you code an E/M (say 99215) with the tobacco screening/counseling?

  6. #6
    Join Date
    Apr 2007

    Question tobacco Screening

    Isn't V70.3 a diagnosis that would be used for a physical? I am just confused. I have been using per my practice administrator to use 99406 and 305.1. I have been using 99214 w/25 modifier. 99406 w/59 modifier. There are some new cpt codes as well new diagnosis codes for tobacco.
    [I]Elizabeth Comma-Watson, CPC
    Billing/Coding Specialist
    Greensboro, NC 27455-2601

  7. #7
    Join Date
    Apr 2007
    Ft. Worth, Texas


    Why are you putting a 59 modifier on 99406 an E/M code?

  8. #8

    Default Thanks

    Thanks everyone for your replies. Just wanted to make sure I was on the right page.
    Have a great one!!!!

  9. #9
    Join Date
    Apr 2007
    Lubbock, TX


    Quote Originally Posted by Biller385 View Post
    Why are you putting a 59 modifier on 99406 an E/M code?
    99406 shouldn't require a modifier to pay separately, but 59 wouldn't be appropriate, anyways. 99406 is from the Counseling Risk Factor Reduction and Behavior Change Intervention section, which says "They are distinct from other E/M services that may be reported separately when performed."

  10. #10


    We use the V70.3 for sport physicals in our family practice. Now we do bill the office visit and the smoking cessation (99406 depending on the time Dr. spend counseling this is a must in the documentation) with no modifier we normally append a diagnosis to the 99406 like htn, asthma, any pulmonary condition that maybe worse by smoking then use 305.1 as a second code. So far we don't have any problem with reimbursement. Hope this may help!

    ps Also may want to try
    Mildred Nieves, CPC

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