1 / 2

Coding and reimbursement

Coding and reimbursement. Medicaid and Medicare Part B cover cessation counseling for patients with medical condition caused by or medication impacted by tobacco use (2 attempts x 4 sessions each/yr) To get reimbursed for symptomatic patients, use:

meena
Download Presentation

Coding and reimbursement

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Coding and reimbursement Medicaid and Medicare Part B cover cessation counseling for patients with medical condition caused by or medication impacted by tobacco use (2 attempts x 4 sessions each/yr) To get reimbursed for symptomatic patients, use: • appropriate E/M code for the visit with modifier 25 attached • Tobacco Cessation Counseling Code • 99406 Intermediate visit 3 -10 minutes • 99407 Intensive visit >10 minutes • Diagnosis codes • Report 305.1 Tobacco use disorder AND related condition or interference with medication • Example: 493.9 Asthma

  2. Coding and reimbursement (cont.) To get reimbursed for asymptomatic patients, use: • Tobacco Cessation Counseling Code • G0436 Intermediate visit 3 -10 minutes • G0437 Intensive visit >10 minutes • Diagnosis codes • 305.1 Tobacco use disorder • Patients will incur no out of pocket expenses.

More Related