Table of Contents
- 1 What does CPT code 99406 mean?
- 2 Does Medicare cover CPT code 99406?
- 3 How many times can you bill 99406?
- 4 Is 99406 considered an E M code?
- 5 Who can bill CPT 99441?
- 6 Can 99406 be billed inpatient?
- 7 What is the reimbursement rate for 99441?
- 8 What is the difference between 99441 and G2012?
- 9 Is 99406 covered by Medicare?
- 10 What does medical code 99406 mean?
- 11 What does service code 99499 stand for?
What does CPT code 99406 mean?
Smoking and tobacco use cessation counseling visit
99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes.
Does Medicare cover CPT code 99406?
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.
Does 99406 need a modifier?
MSCAN Tobacco Cessation Coverage To allow payment in this circumstance, providers should append a “25” modifier for 99406 or 99407 codes. Magnolia Health (MH) indicates that 99406 and 99407 are reimbursed with no modifier or diagnosis limitations.
How many times can you bill 99406?
The 2019 CMS guidelines state that Medicare covers two cessation attempts per 12-month period. Each attempt includes a maximum of up to four intermediate (99406) or intensive (99407) counseling sessions, with a total Medicare benefit of eight sessions per year.
Is 99406 considered an E M code?
Smoking cessation (99406 and 99407) services were developed as E/M services and may be reported with the E/M services 99201-99205 and 99211-99215.
Is 99406 an add on code?
Description of CPT code 99406 & 99407 CPT code 99407 is not an add-on code, and the two codes are never reported together. Report only one of the codes, depending on the time of the counseling.
Who can bill CPT 99441?
The following codes may be used by physicians or other qualified health professionals who may report E/M services: 99441: telephone E/M service; 5-10 minutes of medical discussion. 99442: telephone E/M service; 11-20 minutes of medical discussion.
Can 99406 be billed inpatient?
CPT code 99406, 99407 , C9801, C9802 – Tobacco Use Cessation Counseling. Medicare covers counseling for tobacco cessation for outpatients and for inpatients. Inpatients are covered only if counseling for tobacco use is not the primary reason for the patient’s hospital stay.
Can a respiratory therapist bill for smoking cessation?
Under current statutory and regulatory requirements, respiratory therapists can furnish smoking cessation counseling as “incident to” a physician’s service under Medicare Part B (hospital outpatient or physician office). In both instances, Medicare covers two individual smoking cessation counseling attempts per year.
What is the reimbursement rate for 99441?
Members & Publications
| Code | Non-Facility Fee | Facility Fee |
|---|---|---|
| 99441 | $46.13 | $26.31 |
| 99442 | $76.04 | $52.26 |
| 99443 | $110.28 | $80.37 |
What is the difference between 99441 and G2012?
Q: We cannot seem to settle this debate at my obstetrics/gynecology office: What is the difference between G2012 and 99441? A: The codes are very similar. One is an HCPCS code and the other is the first of three CPT diagnostic codes. Commercial insurance companies are not required to accept and use HCPCS codes.
What is CPT for respiratory therapy?
Chest physical therapy (CPT or Chest PT) is an airway clearance technique (ACT) to drain the lungs, and may include percussion (clapping), vibration, deep breathing, and huffing or coughing.
Is 99406 covered by Medicare?
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.
What does medical code 99406 mean?
CPT ® codes for Smoking Cessation. There are two codes used to report counseling by a physician or non-physician practitioner (NPP) with the patient for smoking cessation. 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes. 99407 Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes.
What is the medical billing code 99404?
The Current Procedural Terminology (CPT ®) code 99404 as maintained by American Medical Association, is a medical procedural code under the range – Preventive Medicine, Individual Counseling Services.
What does service code 99499 stand for?
CPT 99499, Under Other Evaluation and Management Services. The Current Procedural Terminology (CPT) code 99499 as maintained by American Medical Association, is a medical procedural code under the range – Other Evaluation and Management Services.