Search for jobs related to Does cpt code 99406 need a modifier or hire on the world's largest freelancing marketplace with 21m+ jobs. The new G codes for use on claims with dates of service on or after January 1, 2011 are: G0436: Long Descriptor: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes, Short Descriptor: Tobacco-use counsel 3-10 min; G0437: Long Descriptor: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes, Short Descriptor: Tobacco-use counsel >10 min. I'm not able to locate the Amerigroup policy; can you provide a link? All the articles are getting from various resources. MSN Spanish Version: La informacin proporcionada no confirma la necesidad para este servicio o artculo. CCI Edit Rule: CPT Manual or CMS manual coding instructions Intensive counseling is 4 sessions of more than 10 minutes each. Contractors shall allow payment for a medically necessary E/M service on the same day as the smoking and tobacco-use cessation counseling service when it is clinically appropriate. f(aAV2*%X-Pi/[ .!<2H=hM-AMGx6Pc@vAv]i`)w+L;N 3O}C',sxt@c<0C. As the first session nears the 45 minute mark, the patient again shares that they often step outside for a smoke after arguments at home, and that it leaves them more depressed after the buzz wears off. You ask if they would be open to using some session time to explore their smoking and they agree. To start the count for the second or subsequent 12-month period, begin with the month after the month in which the first Medicare covered cessation session was performed and count until 11 full months have elapsed. BCBS prefix Why its important to read correctly. Probably the only X modifier to use would be the XU and that's basically like reporting the 59 modifier. When denying claims for counseling to prevent tobacco use services and smoking and tobaccouse cessation counseling services that exceed a combined total of 8 sessions within a 12-month period (G0436, G0437, 99406, 99407), contractors shall use the following messages: MSN 20.5: These services cannot be paid because your benefits are exhausted at this time., MSN Spanish Version: Estos servicios no pueden ser pagados porque sus beneficios se han agotado., CARC 119: Benefit maximum for this time period or occurrence has been reached., RARC N362: The number of days or units of service exceeds our acceptable maximum.. They arent opposed to talking about their smoking but really want to focus first on a plan to address their presenting problems. Claims are accepted for G0436 and G0437 with revenue code 0510 when billed by IHS facilities. When a problem-oriented evaluation and management (E&M) service is performed on the same day by the same physician as a preventive visit, the modifier "-25" can be reported on the claim form. It's free to sign up and bid on jobs. Thus, insertion of an intravenous catheter (e.g., CPT codes 36000, 36410) for intravenous infusion, injection or chemotherapy administration (e.g., CPT codes 96360-96368, 96374-96379, 96409-96417) shall not be reported separately. No other tobacco cessation codes are eligible for waiver of coinsurance/deductible at this time. Medicare covers counseling for tobacco cessation for outpatients and for inpatients. It is normally used to indicate that two or more procedures were performed during the same visit to different sites on the body. These visits must be provided by a qualified health care provider. The CBHSQ Report: March 30, 2017. X XX X X OCE MPFS DB 5878.2 Medicare systems shall recognize new CPT codes 99406 and 99407 for Smoking and Tobacco-Use Cessation (visits do not need to be 12 months apart) G0438* (first visit) G0439* (subsequent visit) . 2016-11-09 Does that need a gt modifier as well and should I put an additional modifier of 25 on the CPT 99214 code. In 2016, 34.6% of adults with any mental illness reported current use of tobacco compared to 23.3% of adults with no mental illness.iiNearly 25% of adults in the United States have a mental health or substance use disorder (i.e., behavioral health condition), and these adults consume almost 40 percent of all cigarettes smoked by adults in the United States.iii, The most common causes of death among people with behavioral health conditions are heart disease, cancer, and lung disease, which can all be caused by smoking. If you find anything not as per policy. 7133-04.4.2 CWF shall deny counseling to prevent tobacco use services (HCPCS G0436, G0437, 99406, 99407) that exceed a combined total of 8 sessions within a 12-month period. Medicare waives the co-payment/co-insurance and deductible for this service. Designed by Elegant Themes | Powered by WordPress. CPT Add-On Code +99354 Reimbursement Rate (2022): $ 140.26 Additional time up to 1 hour and 45 minutes for a diagnostic interview CPT Add-On Code +99354 Reimbursement Rate (2020): $132.09 Effective January 1, 2016, use CPT code 81528 when billing for the Cologuard test (note that your MAC will accept HCPCS code G0464 for claims with dates of service on or before December 31, 2015). i Centers for Disease Control and Prevention. Sign up for Betsys monthly newsletter to download these reference sheets and share them with your practitioners. The CMS will allow two individual tobacco cessation counseling attempts per year. JavaScript is disabled. Prior to January 1, 2011, this service will be subject to the standard Medicare coinsurance and Part B deductible requirements. Codes . ), RARC N362 (The number of days or units of service exceeds our acceptable maximum. While the practitioner and patient have flexibility to choose between intermediate or intensive cessation strategies for each attempt, it is very important to be aware that frequency limits are beneficiary-specific; therefore, prior to providing tobacco cessation counseling to a beneficiary, you should review a given beneficiarys previous service provision (i.e. Each attempt may include a maximum of 4 intermediate or intensive sessions, with a total of up to 8 face-to-face sessions during a 12-month period for individuals who use tobacco regardless of whether there are signs or symptoms of tobacco-related disease. I am at a loss and when I call they have no idea what I am talking about and when I appeal they just tell me to send a corrected claim (which has already been done) or decision upheld with no explanation. A patient requests an initial appointment for assistance with depressive symptoms and interpersonal difficulties. For pregnant persons, provide behavioral counseling for cessation: Effective behavioral counseling includes cognitive behavioral, motivational, and supportive therapies such as counseling, health education, feedback, financial incentives, and social support. CPT Code Description. For a better experience, please enable JavaScript in your browser before proceeding. F17.220: Nicotine dependence, chewing tobacco, uncomplicated Medicare Part B covers two levels of tobacco cessation counseling for beneficiaries: intermediate and intensive. Medicare will allow payment for a medically necessary Evaluation and Management (E/M) service on the same date as tobacco cessation counseling, provided it is clinically appropriate. These new codes (effective on and after January 1, 2008) are: 99406 Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes; and All our content are education purpose only. The information provided does not support the need for this service or item. All Rights Reserved to AMA. Health Effects of Cigarette Smoking Fast Facts and Fact Sheets. Education material is not billable in that sense, unless the provider specifically follows along and actually counsels the patient on it. These codes group to APG 451. Use existing CPT codes 99406 and 99407 for smoking and tobacco-use cessation counseling visits. Can someone please help me. APA Services is aware of commercial payers that will reimburse psychologists for reporting codes 99406 or 99407, as well as some Medicaid programs. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. The total session lasted 55 minutes with 43 minutes spent on the patients depressive symptoms and 12 minutes spent on tobacco cessation. Preventive Medicine Service plus 50% of the problem-oriented E/M service code when that code is appended with modifier 25. Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Accueil Uncategorized does cpt code . You are using an out of date browser. In the . Ann Intern Med. this notation came from my coding software. 99217 Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital "observation status" if the discharge is on other than the initial date of "observation status." To report services to a patient designated as "observation status" or "inpatient status" and . You are using an out of date browser. Each attempt may include a maximum of four intermediate or intensive counseling sessions. Yes, I am aware of the CCI edits for these codes and I have tried the 59 and they are telling me that it is incorrect. I have sent in an reconsideration and they are still telling me it is incorrect. If the problem-oriented service is minor, or if the code is not submitted with modifier 25 appended, it will not . Policy: Effective for claims with dates of service on and after August 25, 2010, CMS will cover tobacco cessation counseling for outpatient and hospitalized Medicare beneficiaries: 1. Who use tobacco, regardless of whether they have signs or symptoms of tobacco-related disease; CPT code 96110 represents developmental screening, with interpretation and report. Outpatient and hospitalized Medicare beneficiaries for whom all of the following are true: * Use tobacco, regardless of whether they exhibit signs or symptoms of tobacco-related disease, * Competent and alert at the time of counseling, * Counseling furnished by a qualified physician or other Medicare-recognized practitioner. Medicare Part B already covers cessation counseling for individuals who: 1. Copyright 2023, CodingIntel While Medicare has agreed to accept the AMA's CPT E/M coding changes, they have formulated an opinion contrary to how CPT calculates time specific to reporting this prolonged service code, and has created a separate HCPCS code ( G2212) for reporting prolonged services specific to 99205 and 99215. CPT codes for placement of these devices are not separately reportable. If this is your first visit, be sure to check out the. 0 Contractors shall use Group Code CO, assigning financial liability to the provider, if a claim is received with no signed ABN on file. The diagnosis codes that should be reported for these individuals are: The CMS has created two new G codes for billing for tobacco cessation counseling services to prevent tobacco use for dates of service on or after January 1, 2011. Modifier -25 on 99406? Patients diagnosed with mental and behavioral health disorders have higher rates of smoking as well as increased morbidity. The CMS has created two new G codes for billing for tobacco cessation counseling services to prevent tobacco use for dates of service on or after January 1, 2011. . Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality, 2017. iii Center for Behavioral Health Statistics and Quality. In 2020, CMS changed the rates for codes 99441-99443 to the rates for 99212-99214. Whose counseling is furnished by a qualified physician or other Medicare-recognized practitioner. 2465 0 obj <> endobj 99406-99409. may be reported in addition to the preventive. Bill with diagnostic CPT code (453xx series) and deductible only is waived; CPT 00812 (with no modifier) is used with screening codes. It may not display this or other websites correctly. Code 99406 is a column 2 code for 90471, but you may use a CCI-associated modifier to override the edit under appropriate circumstances. They will appear in the quarterly coding updates for October 2010, and the TOS code is 1. Then, for seven additional minutes you use an ACT-informed approach to support the patient with their expressed desire to quit. A bulletin article will be released listing the new codes that will be separately reimbursable for Ambulatory Surgery Centers (ASC) when information is released by the Centers for Medicare & Medicaid Services (CMS) in January 2021. 2008, contractors shall pay claims when billed with CPT codes 99406 and 99407. CPT 96110, 96112, 96113, 96130 and 96131 with GT modifier are not payable in POS 03 CPT codes 11055, 11056, 11057, and 11719 must be reported with Q7, Q8, or Q9 modifier; if not reported, will deny. 99406 Claims are accepted for G0436 and G0437 with revenue code 052X when billed on TOBs 71X or 77X. 99397 and additional screening codes 99406-99409 and 96160) when reported in conjunction with immunization administrative services (90460-99474) . office manager or physician? The CMS has created two new G codes for billing for tobacco cessation counseling services to prevent tobacco use. The diagnosis code 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 tobacco use. There are two codes used to report counseling by a physician or non-physician practitioner (NPP) with the patient for smoking cessation. CMS does not currently have specific training requirements, but may in the future. Intermediate counseling is 2 to 3 sessions of 3 to 10 minutes each. I changed from UHC Americhoice to Amerigroup midpost. Hi, I submitted CPT code 82948-QW but still denied. The following ICD-10-CM codes support medical necessity and provide coverage for CPT/HCPCS codes: 95800, 95801, 95806, G0398, G0399 and G0400. A population health approach, or preventive health approach, focuses on improving the health, health equity, safety, and well-being of entire populations, including individuals within those populations. The total session lasted 60 minutes with 54 spent addressing the patients depressive symptoms and six focused on smoking cessation. So the combination 99396-25 and 99495 may well be acceptable. ), and Group code PR if a signed ABN is on file. Learn more about the benefits of A medical coding modifier is two characters (letters or numbers)appended to a CPT or HCPCS level II code. Integrating smoking and tobacco use cessation counseling services into routine practice is one way that psychologists can address population health and be reimbursed for those services. 2. They are being replaced by two new CPT codes (99406 Smoking and tobaccouse cessation counseling visit; intermediate, greater than 3 inutes up to 10. TDD/TTY: (202) 336-6123. For a better experience, please enable JavaScript in your browser before proceeding. Can you escalate to your provider rep, if you have one? Smoking cessation counseling must be provided by a physician, registered physicians assistant, registered nurse practitioner, or licensed midwife during a medical visit (no group sessions), and is only payable when accompanied by an the appropriate E&M code (99201-99205, 99211-99215) and/or the appropriate preventive medicine code (99383-99386, 99393-99396). Like CPT, it includes three levels or categories of codes: 1. Assessed willingness to attempt to quit. One more question - everything I can find from Amerigroup in relation to smoking cessation indicates they only allow 99407. CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. Freelancer .As usual, we start from the cluster created in the quick start documentation:. Claims for these counseling services must be submitted with the appropriate diagnosis code. NOTE: In calculating a 12-month period, 11 months must pass following the month in which the 1st Medicare covered cessation counseling session was performed. Search for jobs related to Does cpt code 99406 need a modifier or hire on the world's largest freelancing marketplace with 21m+ jobs. kotor things to do before leaving taris; can you wash bissell crosswave brush in the washing machine; lg dishwasher keeps counting down from 4. jessica hunsden carey; pasco county deaths 2022; mobile homes for rent in austin, tx by owner; rcmp ppc qualification; does cpt code 99495 need a modifier. She has been a self-employed consultant since 1998. 99406, 99407 None SA, SB, GC, U1, U7, U9, 24, 25, 57, 99 . | G0438, Age and wellness visits | Eligibility for Welcome to Medicare, Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes. CPT Modifier 57 This modifier should not be submitted with E/M codes that are explicitly for new patients only: Use of modifiers 2017. ii Substance Abuse and Mental Health Services Administration. The counseling during an E/M service must be either intermediate or intensive. MSN . determine the appropriate submission codes for covered preventive services. If I send my smoking cessation without a modifier it will deny as service bundled. Morbidity and Mortality Weekly Report 2013;62(05):81-7. vii NIH State-of-the-Science Panel. CARC 167 This (these) diagnosis(es) is (are) not covered, missing, or are invalid. The CMS has created two new G codes for billing for tobacco cessation counseling services to prevent tobacco use. Tobacco Cessation Counseling G0436/G0437 and 99406/99407. Finding Medicare fee schedule HOw to Guide, Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee, LCD and procedure to diagnosis lookup How to Guide, Medicare claim address, phone numbers, payor id revised list, Medicare Fee for Office Visit CPT Codes CPT Code 99213, 99214, 99203. View complete answer on mediclaimservices.com. It may not display this or other websites correctly. hT_HSQ:ui;IE,y+OaC)S70((I-!H,5`O!f=u])c}| >09h`q`b -'V-Q;zVU+8Z{?Bra|};2:k0;}Z ip`>UOtmGf3}7]VFK9 PZK}0,ZFrR1gOeE\]0s-s:5l.Aj[KnX'lO$]V#{dR_7mtVRjk\YJ 7bp.We($)6^BZ Claims without the AT modifier will be . The counseling must be provided face-to-face with the patient. For a better experience, please enable JavaScript in your browser before proceeding. The revenue codes and UB-04 codes are the IP of the American Hospital Association. 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes. There are two codes used to report counseling by a physician or non-physician practitioner (NPP) with the patient for smoking cessation. The beneficiary NOTE: This decision does not modify existing coverage for minimal cessation counseling (defined as 3 minutes or less in duration) which is already considered to be covered as part of each Evaluation and Management (E/M) visit and is not separately billable. Mental health provider CPT codes 99406 and 99407 disease, or if the code is not recognized by will. All Rights Reserved to AMA. Two new C codes have been created for facilities paid under OPPS when billing for counseling to prevent tobacco use and tobacco-related disease services during the interim period of August 25, 2010, through December 31, 2010: registered for member area and forum access. The practitioner and patient have the flexibility to choose between intermediate (more than 3 minutes but less than 10 minutes), or intensive (more than 10 minutes) cessation counseling sessions for each attempt. BCBS prefix Why its important to read correctly. Does the policy you have support that? These sessions must be provided by a qualified health care provider. Also, I read that the G codes for Medicare were deleted several years ago and were replaced with 99406-99407; same codes as commercial payers. Has anyone had success with these codes? Do not report 99406 for less than three minutes of service. Medicare also allows for the reporting an E/M visit (99201-99215) in addition to the tobacco-counseling, if modifier -25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) is appended to the E/M Private insurers can set their own policies and payments. An emergency department visit (CPT code 99284 or 99285) or A clinic visit (CPT code 99205 or 99215); or Critical care (CPT code 99291); or Direct admission to observation reported with HCPCS code G0379, must be reported on the same date of service as the date reported for observation services. Any resource shared within the permissions granted here may not be altered in any way, and should retain all copyright information and logos. If other providers have also billed for cessation your patient could have hit the maximum for the year. To start the count for the second or subsequent 12-month period, begin with the month after the month in which the first Medicare covered counseling session was performed and count until 11 full months have elapsed. 99406- smoking cessation >3 min. Use tobacco and have been diagnosed with a recognized tobacco-related disease, 2. hbbd```b``]":A$-"` f^&9"|0{ f7 \D20fI v;w \ vi Centers for Disease Control and Prevention. This tool is intended to assist suppliers in determining potential modifiers that may be used in billing DMEPOS HCPCS codes. If this is your first visit, be sure to check out the. I would add the modifier -GT to ALL services that were provided via telemedicine. From reading the policy for Amerigroup - Policy to procedure - it almost sound like they want one of these modifiers, but their definitions are not for a regular mds doing E/M visits. Is that any reason why 99497 (Adanced Care Planning) bundle with CPT 99406 or 99407? These new CPT codes, which are included in the 2008 Medicare Physician Fee Database (MPFSDB), become effective for claims with dates of service January 1, 2008 and later. If you are a member and have already registered for member area and forum access, you can log in by clicking here. This coding article provides documentation requirements and coding instructions for non-cosmetic removal of benign skin lesions. Key point to remember! 2493 0 obj <>/Filter/FlateDecode/ID[<25FFFE02BD71FE4989FCCA020A177708>]/Index[2465 63]/Info 2464 0 R/Length 125/Prev 584906/Root 2466 0 R/Size 2528/Type/XRef/W[1 3 1]>>stream Unless they have redefined the GP, GO and GN modifiers for their own purposes, I would not be comfortable using those. Inpatients are covered only if counseling for tobacco use is not the primary reason for the patients hospital stay. Codes. Do not report 99406 in conjunction with 99407. On January 3, 2011, contractors systems will accept the new G codes for services performed on or after August 25, 2010. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2013. iv Smoking Cessation Leadership Center. Adjustment Reason Codes 4 : The procedure code is inconsistent with the modifier used or a required modifier is missing. Good Morning, I work for an urgent care the doctor always bill 99213 and 99406 together and Medicare always deny the claim stating they can't be billed together. It appears as if they can be stand alone codes. Expert Answers: Key point to remember! I misspoke with the Amerigroup. If I add a 59 modifier it denies as procedure inconsistent with the modifier used/required modifier missing. Have you heard of the GP, GO and GN modifiers? CPT codes CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. CPT 99401 must be reported with modifier CR; if not reported, will deny. F17.210: Nicotine dependence, cigarettes, uncomplicated Reply. When a colonoscopy becomes diagnostic, anesthesia is reported using CPT 00811 with modifier PT. Medicare Summary Notices (MSNs), Remittance Advice Remark Codes (RARCs), Claims Adjustment Reason Codes (CARCs), and Group Codes, (Rev. You continue to use the last 1215 minutes of the next three sessions focusing on tobacco cessation counseling. When documentation supports that a significant, separately identifiable problem-oriented evaluation and management (E/M) service is rendered, the appropriate code for the E/M service may be reported separately. DENIAL CODE Finding Medicare fee schedule HOw to Guide, Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee, LCD and procedure to diagnosis lookup How to Guide, Medicare claim address, phone numbers, payor id revised list, Medicare Fee for Office Visit CPT Codes CPT Code 99213, 99214, 99203. In addition to the HCPCS code, these services must be billed with ICD-10 diagnosis code Z87.891 (personal history of tobacco use/personal history of nicotine dependence), ICD-9 diagnosis code V15.82. with modifier 25 to indicate that the E/M service is a separately identifiable service from 99406 or 99407. The AT modifier must not be placed on the claim when maintenance therapy has been provided. 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. Please reach out and we would do the investigation and remove the article. She knows what questions need answers and developed this resource to answer those questions. JavaScript is disabled. Now, we have got the complete detailed explanation and answer for everyone, who is interested! These visits must be provided by a qualified health care provider. CR 5878, from which this article is taken, announces that the 2008 Medicare Physician Fee Database (MPFSDB) includes two new CPT codes for smoking and tobacco use cessation counseling services; replacing the temporary HCPCS G codes (G0375 and G0376) currently in use for billing these services. Each attempt may include a maximum of 4 intermediate or intensive sessions, with the total G0437: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes The ICD-10 codes diagnosis codes that should be reported for individuals who do not have signs or symptoms of tobacco-related disease individuals are: [MLN, 2015], F17.200: Nicotine dependence, unspecified, uncomplicated Intermediate sessions (code 99406) represent counseling the patient for 310 minutes, while intensive sessions (code 99407) describe counseling the patient for greater than 10 minutes. By entering the beneficiarys health insurance claim number (HICN), providers have the capability to view the number of sessions a beneficiary has received for this service via inquiry through CWF. We don't bill often for smoking cessation, but I've had good success from Medicare by billing 99406 to dx code Z71.6, with a mod -25 on the preceding E/M code. CWF shall deny counseling to prevent tobacco use services (HCPCS G0436, G0437, 99406, 99407) that exceed a combined total of 8 sessions within a 12-month period. NOTE: Contractors shall apply contractor-pricing to claims containing HCPCS G0296 and G0297 with dates of service February 5, 2015, through . Claims are accepted for G0436 and G0437 with revenue codes 096X, 097X, or 098X when billed on TOB 85X Method II under the MPFS. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). If you find anything not as per policy. 3>. National Institutes of Health State-of-the-Science conference statement: tobacco use: prevention, cessation, and control. The diagnosis codes that should be reported for individuals who do not have signs or symptoms of tobacco-related disease individuals are: ICD-9 code 305.1 (non-dependent tobacco use disorder), ICD-9 code V15.82 (history of tobacco use), Minimal counseling (<3 e="" in="" included="" is="" minutes="" p="" service.="" the=""> Ann Intern Med. They are all part of HCPS, the Healthcare Common Procedure Coding System. The diagnosis code 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 tobacco use. Contractors shall use Group Code PR, assigning financial liability to the beneficiary, if a claim is received with a signed ABN on file. This modifier should be used in exceptional cases only, and payors will frequently require documentation of the service before they make payment. It's free to sign up and bid on jobs. April 21st, 2019 - Does anyone here have access to Revenue Code crosswalk tools like Uniform Billing Editor or Revenue Cycle Pro I need a help with 6 codes . The claim must have a diagnosis of pregnancy (ICD-9- CM Diagnosis Codes: 630-677, V22, V23, V28). Practitioners and clinics must use the appropriate ICD-9 diagnosis code:o 305.1 Tobacco use disorder. If you also report an E/M, then the 25 modifier would go on the E/M. There two CPT Codes 99406 and 99407 that are used for tobacco cessation counseling for symptomatic individuals. a CodingIntel membership, Last revised January 5, 2023 - Betsy Nicoletti Tags: screening and counseling for behavioral conditions. The following are examples of benign skin lesions: sebaceous (epidermoid) cysts skin tags milia ( keratin-filled cysts) nevi (moles) acquired hyperkeratosis (keratoderma) papillomas hemangiomas viral warts Claims are accepted for G0436 and G0437 with revenue code 0942 on TOB 12X, 13X, 22X, 23X, 34X, and 85X. 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