CQW Panacea-re-brand-rev3

For the Week of July 27, 2015


What would be an appropriate diagnosis code to submit on claims for smoking and tobacco-use cessation-counseling services? Also, what CPT codes are billed?


According to section 12 of chapter 32 of the Medicare Claims Processing Manual, diagnosis codes should reflect the condition the patient has that is adversely affected by tobacco use or the condition the patient is being treated for with a therapeutic agent whose metabolism or dosing is affected by the tobacco use.

In addition to the two CPT codes 99406 and 99407 that currently may be used for tobacco-cessation counseling for symptomatic individuals, the following level II codes can be used:

G0436 Smoking and tobacco cessation counseling; greater than 3 minutes, up to 10 minutes
G0437 greater than 10 minutes.


Return to Compliance Question of the Week Index


Sign up to receive Compliance Question of the Week.

To view and archive of the General Compliance Question of the Week, click here