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VA Health Care currently covers some tobacco cessation medications. 7 They include Nicotine Replacement Therapy (NRT) Gum, NRT Patch, NRT Lozenge, Bupropion and Varenicline (Chantix).
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.
Nicotine Replacement Therapy (NRT)Your VA health care provider can give you a prescription for NRT. It's also available without a prescription from your local pharmacy. Patches, gum, and lozenges are types of NRT. The patch is a long-acting form of NRT that releases a small, steady amount of nicotine through the skin.
VA can provide you with this type of counseling so you can make the behavioral changes needed to break free of tobacco, whether it be cigarettes or smokeless tobacco. VA provides in-person individual and group tobacco cessation counseling and telephone and video counseling for Veterans.
Successful intervention begins with identifying users and appropriate interventions based upon the patient's willingness to quit. The five major steps to intervention are the "5 A's": Ask, Advise, Assess, Assist, and Arrange. Ask - Identify and document tobacco use status for every patient at every visit.
F17. 210 Nicotine dependence, cigarettes, uncomplicated.
Benefit almost straight awayIn 12 hours excess carbon monoxide is out of your blood.In 5 days most nicotine is out of your body.In 1 week your sense of taste and smell improves.In 1 month your skin appearance is likely to improve.
MSCAN Tobacco Cessation Coverage If billed alone, 99406 and 99407 are reimbursed. When billed with another evaluation and management code, the codes will bundle to a single fee. To allow payment in this circumstance, providers should append a 25 modifier for 99406 or 99407 codes.
The options include:Prescription nicotine in a nasal spray or inhaler.Over-the-counter nicotine patches, gum and lozenges.Prescription non-nicotine stop-smoking medications such as bupropion (Zyban) and varenicline (Chantix)
Smoking Cessation Counseling Codes 99406 and 99407Medicare 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.