tci ED Coding & Reimbursement Alert - 2019 Issue Q4

Reader Question: Get the Scoop on 99408

Question: We saw a patient for a panic attack who revealed a cocaine addiction. The ED physician documented that he advised the patient to stop using drugs. Should we bill this service with 99406 or is there another appropriate code? Supercoder Subscriber Answer: No. You would not report 99406 (Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes) for an alcohol and substance abuse screening and intervention. You should only report 99406 for smoking and tobacco-use cessation counseling. You have a separate set of codes to choose from for alcohol and/or substance...

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