Saturday, June 16, 2007

Medicare Coverage for Smoking Cessation

Did you know Medicare will cover smoking cessation counseling for patients with certain conditions that are adversely affected by smoking?

G0375 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes.
G0376 - Smoking and tobacco-use cessation visit; intensive, greater than 10 minutes.

Diagnosis Codes should reflect the condition the patient has that is adversly affected by the use of tobacco or the condition the patient is being treated for with a therapeutic agent whose metabolism or dosing is affected by tobacco.

E&M codes can be billed on the same day as Smoking cessation visits please add modifier 25 to procedure codes 99201 - 99215.

To find out more about billing for smoking cessation counseling, visit the follow link to CMS's webpage:
http://www.cms.hhs.gov/SmokingCessation/
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM4104.pdf
http://www.cms.hhs.gov/ContractorLearningResources/downloads/JA3834.pdf

The following PDF pamphlet can be printed and handed out to patients:
http://www.cms.hhs.gov/MLNproducts/downloads/smoking.pdf

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