tci Part B Insider - 2012 Issue 10

Reader Question: Keep Tobacco-Use Cessation Counseling Criteria in Mind

Question: How do we bill for counseling for smoking cessation? If so, what codes are being used? What are the criteria that are used to determine coverage? Answer: CMS provides coverage for smoking and any other tobacco-use cessation counseling. Earlier, only beneficiaries who were diagnosed with a tobacco-related condition or those with symptoms of a tobacco-related condition were covered. However, from Aug. 25, 2010, the tobacco-use cessation counseling has been extended even to people who are not currently showing any signs or symptoms of any tobacco-related condition.The coverage for counseling includes two attempts at cessation. In each attempt...

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