Pulmonology Coding Alert

Preventive Service:

G0436, G0437 Seal Your Asymptomatic Tobacco Use Preventive Counseling Coding

Reserve codes 99406-99407 for symptomatic counseling claims. When an asymptomatic Medicare patient who uses tobacco presents to your office, make sure you're reporting expanded smoking and tobacco-use cessation counseling codes -- G0436 and G0437 -- to ethically recoup documented counseling time. Check out some tips on what you need to know to code and bill for these services: Don't Miss Cessation Counseling Waiver If you think you should use G codes to replace the usual CPT® codes for tobacco cessation counseling, you are correct -- although not entirely. You can still call on codes 99406-99407 (Smoking and tobacco use cessation counseling visit ...) for counseling provided to patients who use tobacco and have a condition that is adversely affected by tobacco use and/or are undergoing a treatment that is adversely affected by tobacco use. However, Medicare has introduced two new G codes for tobacco cessation counseling for asymptomatic patients who [...]
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