How To Use CPT Code 1036F

CPT 1036F describes the screening of a patient aged 18 years or older for tobacco use. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 1036F?

CPT 1036F can be used to describe the screening of a patient aged 18 years or older for tobacco use. This code is used when a healthcare provider identifies the patient as a nonuser of tobacco during the screening process.

2. Official Description

The official description of CPT code 1036F is: ‘Current tobacco non-user (CAD, CAP, COPD, PV) (DM) (IBD).’ This code indicates that the patient does not use tobacco.

3. Procedure

1. The healthcare provider conducts a screening for tobacco use in patients aged 18 years or older.
2. If the patient is identified as a nonuser of tobacco, CPT code 1036F is reported.
3. The provider may also counsel nonusers on avoiding tobacco experimentation, passive tobacco smoke, and preventing tobacco use relapse for those who have already quit.
4. The provider documents the screening for tobacco use and the date of the screening in the patient’s healthcare record.

4. Qualifying circumstances

CPT code 1036F is used when a patient aged 18 years or older is identified as a nonuser of tobacco during the screening process. This includes individuals who have never smoked throughout their lives and those who have already quit smoking. The provider must document the screening for tobacco use and the date of the screening in the patient’s healthcare record.

5. When to use CPT code 1036F

CPT code 1036F should be used when a healthcare provider conducts a screening for tobacco use in patients aged 18 years or older and identifies the patient as a nonuser of tobacco. This code should not be used if the patient is identified as a tobacco user.

6. Documentation requirements

To support a claim for CPT code 1036F, the healthcare provider must document the following information:

• The screening for tobacco use
• The date of the screening

7. Billing guidelines

When billing for CPT code 1036F, ensure that the patient is aged 18 years or older and has been identified as a nonuser of tobacco during the screening process. This code should not be reported with other codes. The provider should document the screening for tobacco use and the date of the screening in the patient’s healthcare record.

8. Historical information

CPT code 1036F was added to the Current Procedural Terminology system on January 1, 2007. On January 1, 2013, the code description was changed to ‘Current tobacco non-user (CAD, CAP, COPD, PV) (DM) (IBD).’ There have been no further updates to the code since its addition.

9. Examples

1. A healthcare provider screens a patient aged 18 years or older for tobacco use and identifies them as a nonuser.
2. During a routine check-up, a physician asks a patient aged 18 years or older about their tobacco use and determines that they are a nonuser.
3. A nurse conducts a tobacco use screening for a patient aged 18 years or older and documents that they are a nonuser.
4. A healthcare provider questions a patient aged 18 years or older about their tobacco use during an initial consultation and determines that they are a nonuser.
5. During a wellness visit, a physician asks a patient aged 18 years or older about their tobacco use and finds that they are a nonuser.
6. A nurse practitioner conducts a tobacco use screening for a patient aged 18 years or older and records that they are a nonuser.
7. A healthcare provider asks a patient aged 18 years or older about their tobacco use during a follow-up appointment and establishes that they are a nonuser.
8. During a preventive care visit, a physician questions a patient aged 18 years or older about their tobacco use and confirms that they are a nonuser.
9. A nurse performs a tobacco use screening for a patient aged 18 years or older and verifies that they are a nonuser.
10. A healthcare provider inquires about a patient’s tobacco use during a routine examination and determines that they are a nonuser.