99406 SMOKING CESSATION

HI List,
anyone from upstate new york, medicar eis denying now for diag, any
thoughts?i cannot seem to find anything new on these

--
Sarah Tupper, CMC
Billing Supervisor
Mohawk Valley Cardiology, PC
1676 Sunset Ave, 1st Floor
Utica, NY 13502
P: 315-624-8146
F: 315-624-8128

Comments

  • We had the same trouble in Arkansas. We did find that the tobacco use code (Z72.0) did not work. We bill nicotine dependent (ex: F17.210) where appropriate and have not had denials with that diagnosis.
  • edited May 2017
    are these new codes? and is it for those who are currently smoking?or
    just to prevent from smoking
  • edited May 2017
    so by asymptomatic meaning smoking has not been proven the cause?
  • edited May 2017
    I guess i am just confused on when to use G0346 and when to use 99406
    or is one replacing the other?.i just wish i could find documentation
    from medicare regarding it
  • edited May 2017
    and also thank you all for your input today i value it greatly
  • edited May 2017
    Dawn,

    That's great. Where specifically did you get it from? I'm not finding it on the web.

    -Roy
  • edited May 2017
    yes, F17.210 i believe is the code we are using
  • We are also using the F17.210 dx and saw denials at first but It was not because of the dx it was because it was with an E/M but found out we needed the 25 modifier on the E/M and all is good now.

    Anyone else?

    Nicole Walker
    Physician Billing
    Speciality Coder
    Dickinson County Healthcare Systems
    Phone (906)776-5957
    Fax (906)228-0207
    nicole.walker@dchs.org
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