Use codes 99406 (and 99407) when the patient has a condition, such as COPD or asthma, that is exacerbated by tobacco use (or history of tobacco use). CPT describes these codes as behavior change intervention-- performed as part of the treatment or condition (i.e. COPD) related to or potentially exacerbated by the behavior. It does go on to say that these codes can be used for the patient who doesn't yet have a related illness, but I've found that it's better to use G0436 and G0437 for the asymptomatic patient (code 305.1 or V15.82).
Coverage of these codes vary by carrier. Some carriers simply do not cover this service, or they expect you to bundle it into your E&M. Sometimes you have to query the payer to see what procedure codes they prefer.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join