coding and reimbursement n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Coding and reimbursement PowerPoint Presentation
Download Presentation
Coding and reimbursement

Loading in 2 Seconds...

play fullscreen
1 / 2
meena

Coding and reimbursement - PowerPoint PPT Presentation

91 Views
Download Presentation
Coding and reimbursement
An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

  1. Coding and reimbursement Medicaid and Medicare Part B cover cessation counseling for patients with medical condition caused by or medication impacted by tobacco use (2 attempts x 4 sessions each/yr) To get reimbursed for symptomatic patients, use: • appropriate E/M code for the visit with modifier 25 attached • Tobacco Cessation Counseling Code • 99406 Intermediate visit 3 -10 minutes • 99407 Intensive visit >10 minutes • Diagnosis codes • Report 305.1 Tobacco use disorder AND related condition or interference with medication • Example: 493.9 Asthma

  2. Coding and reimbursement (cont.) To get reimbursed for asymptomatic patients, use: • Tobacco Cessation Counseling Code • G0436 Intermediate visit 3 -10 minutes • G0437 Intensive visit >10 minutes • Diagnosis codes • 305.1 Tobacco use disorder • Patients will incur no out of pocket expenses.