How To Use CPT Code 4001F

CPT 4001F describes the tobacco use cessation intervention with pharmacologic therapy for patients with conditions such as COPD, CAD, CAP, PV, and Asthma. This article will cover the description, official definition, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 4001F?

CPT 4001F can be used to describe the tobacco use cessation intervention with pharmacologic therapy for patients with conditions such as COPD, CAD, CAP, PV, and Asthma. This code is used when a healthcare provider discusses the use of medication for smoking cessation with a patient or family member who smokes, as part of a brief counseling session.

2. Official Description

The official description of CPT code 4001F is: ‘Tobacco use cessation intervention, pharmacologic therapy (COPD, CAD, CAP, PV, Asthma) (DM) (PV)’. This code is used when a healthcare provider advises the patient on smoking cessation and discusses the use of drugs for tobacco cessation.

3. Procedure

1. A healthcare provider evaluates a patient with a diagnosis of asthma who uses tobacco or is exposed to secondhand smoke.
2. The provider performs a brief counseling session, strongly advising the patient not to smoke and discussing the use of medication for smoking cessation.
3. The provider documents the advice and the date of the visit in the patient’s record.

4. Qualifying circumstances

CPT 4001F is applicable to patients with conditions such as COPD, CAD, CAP, PV, and Asthma who use tobacco or are exposed to secondhand smoke. The healthcare provider must perform a brief counseling session and discuss the use of medication for smoking cessation.

5. When to use CPT code 4001F

CPT code 4001F should be used when a healthcare provider advises a patient with conditions such as COPD, CAD, CAP, PV, and Asthma on smoking cessation and discusses the use of medication for tobacco cessation. This code is not appropriate for patients without these specific conditions or for counseling sessions that do not involve pharmacologic therapy.

6. Documentation requirements

To support a claim for CPT 4001F, the healthcare provider must document the following information:

• Patient’s diagnosis of COPD, CAD, CAP, PV, or Asthma
• Discussion of smoking cessation and the use of medication for tobacco cessation
• Date of the counseling session

7. Billing guidelines

When billing for CPT 4001F, ensure that the counseling session is brief and includes a discussion of medication for smoking cessation. This code should not be reported with other codes unless specified by specific payer guidelines. It is important to follow the guidelines of the payer and provide accurate documentation to support the claim.

8. Historical information

CPT 4001F has undergone several changes since its addition to the Current Procedural Terminology system. The code was first added on January 1, 2005, and has since been modified to include additional conditions and updates. The most recent change occurred on January 1, 2014, when the code was updated to include COPD, CAD, CAP, PV, Asthma, and DM (Diabetes Mellitus) as qualifying circumstances.

9. Examples

1. A healthcare provider advises a patient with COPD on smoking cessation and discusses the use of medication for tobacco cessation during a brief counseling session.
2. A provider evaluates a patient with CAD who uses tobacco and performs a counseling session, emphasizing the importance of smoking cessation and discussing the use of pharmacologic therapy.
3. During a visit, a healthcare provider discusses smoking cessation and the use of medication with a patient diagnosed with CAP.
4. A provider advises a patient with PV on smoking cessation and discusses the use of medication for tobacco cessation during a counseling session.
5. A healthcare provider performs a brief counseling session with a patient diagnosed with Asthma, discussing smoking cessation and the use of pharmacologic therapy.
6. A provider evaluates a patient with COPD and DM, discussing smoking cessation and the use of medication for tobacco cessation during a counseling session.
7. During a visit, a healthcare provider advises a patient with CAD and PV on smoking cessation and discusses the use of pharmacologic therapy.
8. A provider performs a counseling session with a patient diagnosed with CAP and Asthma, emphasizing the importance of smoking cessation and discussing the use of medication.
9. A healthcare provider discusses smoking cessation and the use of medication with a patient diagnosed with PV and DM during a brief counseling session.
10. A provider advises a patient with COPD, CAD, and Asthma on smoking cessation and discusses the use of pharmacologic therapy during a counseling session.