99406

  1. J

    Wiki 99406 routinely denied when billed with E/M

    MCR is denying the 99213-99215 or 99203-99205 but paying the 99406 when billed on the same DOS. We are only linking F17.210 to 99406, while our other dx are linked to the 99203-99205 / 99213 - 99205 code. We are ensuring the provider documents all necessary elements in order to bill the 99406...
  2. T

    Wiki 99406 denial

    I am getting a denial from Medicaid as secondary to Medicare. Primary Cpt Code 99309 (NURSING FAC SUBSE DETAILED) was paid by Medicaid. Medicaid is denying Second cpt code 99406 for POS. POS is 31 for this provider for both codes. Is this POS for this code not payable per Medicaid guidelines for...
  3. Rebecca Pate

    Wiki 99406 and Desire to quit

    My question is this: Does the patient have to have a desire to quit smoking in order to bill 99406? I am seeing documentation stating "patient is not ready to quit". 🚬:unsure:
  4. buskeys

    Wiki 99406!!! This code haunts me

    Please give any advice with 99406! We have so many issues with it. We have established what is and isn't medically necessary (providers are still not fully understanding that). We have had issues with modifier usage on this, time documentation, etc. I don't know why this code haunts me in every...
  5. S

    Wiki Smoking Cessation (99406/99407) with Procedure

    Hello, I bill for an anesthesia company. We have an anesthesiologist who is doing smoking cessation counseling during their pre-op and documenting the service separately in the patient's chart. Does anyone know if this will be reimbursable on the same DOS as the procedure/anesthesia? Thank...
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