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Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
HCPCS code G0436 and G0437 has been discontinued effective for the dates of services from 10/1/2016. CPT codes 99406 and 99407 are the remaining codes for tobacco cessation counseling. The beneficiary copayment is waived for CPT codes 99406 and 99407.
The below list of HCPCS / CPT codes are the only Approved Preventive Health Services with Coinsurance and Deductible Waived
| HCPCS/CPT |
Short Descriptor |
| G0101 |
Ca screen; pelvic/breast exam |
| G0296 |
Visit to determ LDCT elig |
| G0402 |
Initial preventive exam |
| 99406 |
Tobacco-use counsel 3-10 min |
| 99407 |
Tobacco-use counsel >10 |
| G0438 |
Ppps, initial visit |
| G0439 |
Ppps, subseq visit |
| G0442 |
Annual alcohol screen 15 min |
| G0443 |
Brief alcohol misuse counsel |
| G0444 |
Depression screen annual |
| G0445 |
High inten beh couns std 30 min |
| G0446 |
Intens behave ther cardio dx |
| G0447 |
Behavior counsel obesity 15 min |
| Q0091 |
Obtaining screen pap smear |
Reference: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1611.pdf
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