The following codes for Tobacco Screening apply to all HealthChoice INN providers that are part of Community Care Behavioral Health Org (MCO PA).

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What was approved n

by The PA The Office of Mental Health and Substance Abuse Services (OMHSAS):

• G codes (listed below) for Tobacco screening of patients 12 years and older.
• These services should be done at least yearly, preferably at intake step of the patient visit
• Additional visits are allowed if medically necessary
• The Tobacco Screening includes: electronic nicotine- ie. vapes; smokeless tobacco- ie. chewing tobacco; combustible tobacco- ie. cigarettes, cigars

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Coding: any provider specialty

• G9902 Any
  Patient screened for tobacco use AND
  identified as a tobacco user
• G9903 Any Patient screened for tobacco use AND
  identified as a tobacco non-user
• G9905 Any Patient not screened for tobacco use

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Coding for specific provider type: 370- Tobacco Cessation Counseling provider

• G9906- Patient identified as a tobacco user received tobacco cessation intervention
  during the measurement period or in the six months prior to the measurement
  period (counseling and/or pharmacotherapy)
• G9908- Patient identified as tobacco user did not
  receive tobacco cessation intervention
  during the measurement period or in the six months prior to the measurement
  period (counseling and/or pharmacotherapy)

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Billing/Rebursement:

• The tobacco screening G codes do not have a separate rebursement
• The codes cannot be billed by themselves on a separate claim
• The codes should be billed on a claim with other services that do have a reimbursements
• Providers need to append $0.01 to the tobacco screening code to ensure claim adjudication.

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Need medical billing coding and reference guides? Check out the ones that are available here.

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