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Question:
Are G0436 and G0437 the correct HCPCS level II codes to use for counseling to prevent tobacco use?
Answer:
Effective September 30, 2016, HCPCS codes G0436 and G0437 are no longer valid. These services should be billed under existing CPT codes 99406 (smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes) and 99407 (smoking and tobacco use cessation counseling visit; intensive, greater 10 minutes) respectively. This information and more can be found in Transmittal 3848 at https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017-Transmittals-Items/R3848CP.html.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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