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G-codes G0436 and G0437 for Smoking and Tobacco cessation counseling has been deleted Effective Oct 1st, 2016


HCPCS code G0436 and G0437 has been discontinued effective for the dates of services from 10/1/2016. CPT codes 99406 and 99407 are the remaining codes for tobacco cessation counseling. The beneficiary copayment is waived for CPT codes 99406 and 99407.


The below list of HCPCS / CPT codes are the only Approved Preventive Health Services with Coinsurance and Deductible Waived


HCPCS/CPT  Short Descriptor 
G0101 Ca screen; pelvic/breast exam
G0296 Visit to determ LDCT elig
G0402 Initial preventive exam
99406 Tobacco-use counsel 3-10 min
99407 Tobacco-use counsel >10
G0438 Ppps, initial visit
G0439 Ppps, subseq visit
G0442 Annual alcohol screen 15 min
G0443 Brief alcohol misuse counsel
G0444 Depression screen annual
G0445 High inten beh couns std 30 min
G0446 Intens behave ther cardio dx
G0447 Behavior counsel obesity 15 min
Q0091 Obtaining screen pap smear


Reference: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1611.pdf


Coding Ahead

Screening G-codes help please

For the Screening G-codes for Depression, Alcohol G0442,G0443,G0444 I believe these are for Medicare patients. Are there any billable CPT codes for these types of screening’s in patients that are not Medicare? eg: PPO patients or patients that are under 65yrs? I know there is the 99406/99407 for Tobacco use. But what about for the Depression, Alcohol is there any billable CPT codes?
Thank you.

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