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Tobacco Abuse Counseling when done with Physicals

Wondering if when billing for Physical understanding that lifestyle counseling ,and age approriate health screening ,etc are elements of Physical. Can a seperate CPT code be used for Tobacco abuse couseling when time spent is documented is the required 3-10 minutes?This of course is for a patient who does smoke
It’s one thing to counsel regarding lifestyle choices and risk of same for those who do not smoke .For those who already smoke the focus is different with discussion of medications,goals support grups etc.
Hoping for some direction
Cher

Medical Billing and Coding Forum

Smokeless tobacco

How would the following text be coded?

Smokeless tobacco: Current User

At first I thought it would F17.220 – chewing tobacco dependence – but then I was thinking that chewing tobacco is just one type of Smokeless tobacco so maybe this isn’t specific enough to code F17.220??

I’m also thinking F17.290 – other tobacco product dependence?

Or do I have to resort to using Z72.0?

I have a lot of charts with this documentation – any help would be much appreciated. :confused:

Medical Billing and Coding Forum

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


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