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The four Ds are variously set out as: Delay: for a few minutes and the urge will pass. Drink water: sip it slowly. Deep breathe: take three slow, deep breaths. Do something else: to take your mind off smoking.
What codes are used to bill for these services? G0375Smoking and tobacco-use cessation counseling visit; intermediate session of more than 3 minutes and up to 10 minutes. G0376Smoking and tobacco-use cessation counseling visit; intensive session of more than 10 minutes.
CMS will cover two individual tobacco cessation counseling attempts per year. Each attempt may include a maximum of four intermediate or intensive sessions, with the total annual benefit thus covering up to eight sessions per Medicare beneficiary who uses tobacco.
Reimbursement for Smoking Cessation If you are already counseling for smoking cessation in your practice, you are doing the work, so get paid for it. Medicare reimbursement for 99407, smoking cessation for longer than 10 minutes of counseling is $27.93. The 10 minute or longer consult may not apply to everyone.
Report CPT code 90837 for the 60-minute psychotherapy session and 99406, and append the -59 modifier, indicating that 3-10 minutes of smoking and tobacco use cessation counseling was performed as an independent service.
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Smoking Cessation Counseling Codes 99406 and 99407 Medicare covers 2 cessation attempts per 12-month period. Each attempt includes a maximum of up to 4 intermediate (99406) or intensive (99407) counseling sessions, with a total Medicare benefit of 8 sessions per year.
Use CPT code 99406 and CPT code 99407 for symptomatic or asymptomatic patients, for a tobacco cessation counseling visit. Document the time of the counseling spent face-to-face with the patient discussing smoking and smoking cessation.
Report CPT code 90837 for the 60-minute psychotherapy session and 99406, and append the -59 modifier, indicating that 3-10 minutes of smoking and tobacco use cessation counseling was performed as an independent service.

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