2017. ii Substance Abuse and Mental Health Services Administration. Freelancer The diagnosis codes that should be reported for these individuals are ICD-9 codes 305.1, nondependent tobacco use disorder, or V15.82, history of tobacco use. annual benefit covering up to 8 sessions per year Medicare Beneficiary Pays 99406 and 99407: * Deductible waived If this is your first visit, be sure to check out the. Medicare will waive the deductible and coinsurance/copayment for counseling and billing with these two new G codes on or after January 1, 2011. JavaScript is disabled. - these 2 CPT Codes 20552, 20553 DO NOT NEED A MODIFIER! You are using an out of date browser. The NSDUH Report: Adults With Mental Illness or Substance Use Disorder Account for 40 Percent of All Cigarettes Smoked [PDF563 KB]. 750 First St. NE, Washington, DC 20002-4242, Telephone: (800) 374-2723. Note: HCPCS code G0436 and G0437 will be discontinued effective 10/1/2016. Provide cessation interventions to persons who use commercial tobacco: For nonpregnant adults, provide behavioral counseling for cessation: Effective behavioral counseling interventions include provider advice, individual counseling, group behavioral interventions, telephone counseling, and mobile phonebased interventions. The following are examples of benign skin lesions: sebaceous (epidermoid) cysts skin tags milia ( keratin-filled cysts) nevi (moles) acquired hyperkeratosis (keratoderma) papillomas hemangiomas viral warts Medicare Part B covers two levels of tobacco cessation counseling for beneficiaries: intermediate and intensive. Quitting smoking can improve mental health and substance use disorder recovery outcomes.iii,iv,v,vi,viii,ix Tobacco smoke can interact with and inhibit the effectiveness of certain medications taken by patients with behavioral health conditions, often resulting in the need for higher medication doses to achieve the same therapeutic benefit.iv Although often not the primary presenting problem for which patients seek out psychological assistance, the disproportionate rates of smoking among individuals living with mental health difficulties uniquely poises psychologists to effectively reach more individuals with this life-saving intervention. If the problem-oriented service is minor, or if the code is not submitted with modifier 25 appended, it will not . Please reach out and we would do the investigation and remove the article. The CPT codes are listed below for billing for smoking cessation: 99406 - Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 99407 - Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes A modifier 25 may be appropriate to append to the primary E/M visit code. Expert Answers: Key point to remember! You are using an out of date browser. CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. The link to the policy for UHC they keep pointing me to is. Private insurers can set their own policies and payments. 99401 99406 . CCI Edit Rule: CPT Manual or CMS manual coding instructions Claims without the AT modifier will be . One more question - everything I can find from Amerigroup in relation to smoking cessation indicates they only allow 99407. In addition to the amount of time spent counseling the patient, other elements to be documented to support medical necessity of the service include: Please note: CPT code 99407 is not an add-on code. CWF shall deny counseling to prevent tobacco use services (HCPCS G0436, G0437, 99406, 99407) that exceed a combined total of 8 sessions within a 12-month period. Medicaid Guidelines SMOKING CESSATION COUNSELING: In support of the U.S. Department of Health and Human Services Clinical Practice Guideline 2008 Update Treating Tobacco Use and Dependence, Medicaid began covering smoking cessation counseling to pregnant women, effective January 1, 2009, in practitioners offices and in hospital OPDs. 2058, Issued: 09-30-10, Effective: 08-25-10, Implementation: 01-03-11). All Rights Reserved to AMA. CPT is a registered trademark of the American Medical Association. There two CPT Codes 99406 and 99407 that are used for tobacco cessation counseling for symptomatic individuals. All our content are education purpose only. You must log in or register to reply here. Learn more about the benefits of They would need to receive purchased doses and they would responsible for the $3.00 copay when they receive . We don't bill often for smoking cessation, but I've had good success from Medicare by billing 99406 to dx code Z71.6, with a mod -25 on the preceding E/M code. registered for member area and forum access. which insurance is primary. Unless they have redefined the GP, GO and GN modifiers for their own purposes, I would not be comfortable using those. 99407. ntensive, greater than 10 minutesi. If you bill using the former HCPCS codes (G0375 and G0376) for services provided after December 31, 2007, your claims will not be paid. There two CPT Codes 99406 and 99407 that are used for tobacco cessation counseling for symptomatic individuals. The revenue codes and UB-04 codes are the IP of the American Hospital Association. NOTE: Contractors shall apply contractor-pricing to claims containing HCPCS G0296 and G0297 with dates of service February 5, 2015, through . 99407: Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes. Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, Medicare revalidation process how often provide need to do FAQ, Step by step Guide Medicare participation program. Documenting in this manner will show that while the two services were performed during the same encounter, the tobacco cessation counseling was considered a distinct and separately identifiable service. Tobacco Use Cessation Counseling. Addressing barriers to change and ways to avoid relapse. The beneficiary may receive another 8 sessions during a second or subsequent year after 11 full months have passed since the first Medicare covered counseling session was performed. It may not display this or other websites correctly. copayment is waived for CPT codes 99406 and 99407. Your patient then transitions to tobacco quitline support and tells you they are no longer smoking at their regular session 12 weeks later. We don't bill often for smoking cessation, but I've had good success from Medicare by billing 99406 to dx code Z71.6, with a mod -25 on the preceding E/M code I've never had to bill a 99407, but I imagine there's nothing different compared to a 99406 D DeBillingTater Networker Local Chapter Officer Messages 32 Best answers 0 Feb 20, 2019 #3 I so sorry it took me a minute to get back to this. Intensive counseling is 4 sessions of more than 10 minutes each. 99406 and 99407 are the remaining codes for tobacco cessation counseling. Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role. Coding Information. CPT Code: 99453 averages about $19.00 when billable. The counseling during an E/M service must be either intermediate or intensive. CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. Tobacco Use Cessation Counseling. The new G codes for use on claims with dates of service on or after January 1, 2011 are: Note also the following claims processing information from CR 7133: Claims submitted with the tobacco cessation counseling codes of G0436 and G0437, but which lack a required diagnosis code (305.1 or V15.82) will be denied with Claim Adjustment reason Code (CARC) 167 (This (these) diagnosis (es) is (are) not covered. All the articles are getting from various resources. Accueil Uncategorized does cpt code . 2493 0 obj <>/Filter/FlateDecode/ID[<25FFFE02BD71FE4989FCCA020A177708>]/Index[2465 63]/Info 2464 0 R/Length 125/Prev 584906/Root 2466 0 R/Size 2528/Type/XRef/W[1 3 1]>>stream Does anyone have experience with this? The modifier provides additional information about the medical procedure, service, or supply involved without changing the meaning of the code. Claims are accepted for G0436 and G0437 with revenue code 052X when billed on TOBs 71X or 77X. i Centers for Disease Control and Prevention. This is a question our experts keep getting from time to time. 2465 0 obj <> endobj 99406 Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes, 99407 Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes, F17.200, F17.201, F17.210, F17.211, F17.220, F17.221, F17.290, F17.291, T65.211A, T65.212A, T65.213A, T65.214A, T65.221A, T65.222A, T65.223A, T65.224A, T65.291A, T65.292A, T65.293A, T65.294A, and Z87.891. All rights reserved. They arent opposed to talking about their smoking but really want to focus first on a plan to address their presenting problems. When documentation supports that a significant, separately identifiable problem-oriented evaluation and management (E/M) service is rendered, the appropriate code for the E/M service may be reported separately. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. These new CPT codes, which are included in the 2008 Medicare Physician Fee Database (MPFSDB), become effective for claims with dates of service January 1, 2008 and later. An initial treatment plan is agreed upon, and the first psychotherapy session is scheduled for later that week. It may not display this or other websites correctly. Can you escalate to your provider rep, if you have one? Also, coding for prolonged care services gets another overhaul with revised codes and guidelines. . Effective January 1, 2016, use CPT code 81528 when billing for the Cologuard test (note that your MAC will accept HCPCS code G0464 for claims with dates of service on or before December 31, 2015). It's free to sign up and bid on jobs. 2. Who are competent and alert at the time that counseling is provided; and At the 43-minute mark, you spend five minutes assessing their smoking habits, understanding of health risks, and readiness to quit. Claims are accepted for G0436 and G0437 with revenue code 0942 on TOB 12X, 13X, 22X, 23X, 34X, and 85X. All Rights Reserved to AMA. registered for member area and forum access, https://www.cms.gov/Medicare/Prevenrvices/MPS-QuickReferenceChart-1.html#TOBACCO. Does CPT code 98940 need a modifier? F17.221: Nicotine dependence, chewing tobacco, in remission The new G codes for use on claims with dates of service on or after January 1, 2011 are: G0436: Long Descriptor: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes, Short Descriptor: Tobacco-use counsel 3-10 min; G0437: Long Descriptor: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes, Short Descriptor: Tobacco-use counsel >10 min. Finding Medicare fee schedule HOw to Guide, Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee, LCD and procedure to diagnosis lookup How to Guide, Medicare claim address, phone numbers, payor id revised list, Medicare Fee for Office Visit CPT Codes CPT Code 99213, 99214, 99203. F17.201: Nicotine dependence, unspecified, in remission Medicaid Services, as well as other payers. Policy: Effective for claims with dates of service on and after August 25, 2010, CMS will cover tobacco cessation counseling for outpatient and hospitalized Medicare beneficiaries: 1. Who use tobacco, regardless of whether they have signs or symptoms of tobacco-related disease; office manager or physician? The CMS has created two G codes for billing for tobacco cessation counseling services to prevent tobacco use for asymptomatic patients. Ann Intern Med. Like CPT, it includes three levels or categories of codes: 1. If other providers have also billed for cessation your patient could have hit the maximum for the year. Results from the 2016 National Survey on Drug Use and Health: Detailed Tables.pdf. The counseling must be provided face-to-face with the patient. The AT modifier must not be placed on the claim when maintenance therapy has been provided. These are in addition to the two CPT codes 99406 and 99407 that currently are used for tobacco cessation counseling for symptomatic individuals. Does cpt code 20552 need a modifier jobs I want to Hire I want to Work. The diagnosis codes that should be reported for individuals who do not have signs or symptoms of tobacco-related disease individuals are: ICD-9 code 305.1 (non-dependent tobacco use disorder), ICD-9 code V15.82 (history of tobacco use), Minimal counseling (<3 e="" in="" included="" is="" minutes="" p="" service.="" the=""> Whose counseling is furnished by a qualified physician or other Medicare-recognized practitioner. Education material is not billable in that sense, unless the provider specifically follows along and actually counsels the patient on it. Other CPT code severity requirements are listed below: 99212: straightforward 99213: low 99214: moderate 99215: high ( Source) ( Source) The revenue codes and UB-04 codes are the IP of the American Hospital Association. Prior to January 1, 2011, this service will be subject to the standard Medicare coinsurance and Part B deductible requirements. Tobacco Cessation Counseling G0436/G0437 and 99406/99407. determine the appropriate submission codes for covered preventive services. 99408. lcohol or substance (other than tobacco) abuse structured A Counseling involving only 1 session lasting less than 3 minutes is considered part of an E/M service and is not reimbursed separately. this notation came from my coding software. It may not display this or other websites correctly. Dont have a login? CR 5878, from which this article is taken, announces that the 2008 Medicare Physician Fee Database (MPFSDB) includes two new CPT codes for smoking and tobacco use cessation counseling services; replacing the temporary HCPCS G codes (G0375 and G0376) currently in use for billing these services. CMS does not currently have specific training requirements, but may in the future. My provider wants to start billing for smoking cessation so I'm doing some research to be sure we bill correctly. For more about Betsy visit www.betsynicoletti.com. Advising the patient to make changes in their behavior. Level I: This matches the AMA's CPT numeric codes. Preventive Medicine Service plus 50% of the problem-oriented E/M service code when that code is appended with modifier 25. Can someone please help me. I work for Internal Medicine. Watch this webinar about all these changes. These individuals who do not have signs or symptoms of tobacco-related disease will be covered under Medicare Part B when the above conditions of coverage are met, subject to certain frequency and other limitations. BCBS prefix Why its important to read correctly. Each attempt may include a maximum of four intermediate OR intensive sessions, with a total benefit covering up to 8 sessions per year per Medicare beneficiary who uses tobacco. Medicare covers counseling for tobacco cessation for outpatients and for inpatients. These individuals who do not have signs or symptoms of tobacco-related disease will be covered under Medicare Part B when the above conditions of coverage are met, subject to certain frequency and other limitations. MSN . Medicare covers 2 cessation attempts per year. The counseling must be provided face-to-face with the patient. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. I misspoke with the Amerigroup. Medicare will allow two smoking cessation attempts per year. APA is dedicated to improving population health, along with advocating for financial incentives that support psychologists involvement in these efforts. A medical coding modifier is two characters (letters or numbers)appended to a CPT or HCPCS level II code. There are two codes used to report counseling by a physician or non-physician practitioner (NPP) with the patient for smoking cessation. To start the count for the second or subsequent 12-month period, begin with the month after the month in which the first Medicare covered cessation session was performed and count until 11 full months have elapsed. These codes group to APG 451. 99406- smoking cessation >3 min. Designed by Elegant Themes | Powered by WordPress. Services may be provided by a physician, physician assistant, nurse practitioner, clinical nurse specialist, qualified psychologist or clinical social worker. All practitioners must practice in accordance with applicable state law and scope of practice laws. 99407 Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes -Avreage fee amount- $25 $30. This is just a regular medical clinic that does office visits. The Common Working File (CWF) maintains the number of smoking and tobacco-use cessation counseling sessions rendered to a beneficiary. F17.210: Nicotine dependence, cigarettes, uncomplicated C9801 Smoking and tobacco cessation counseling visit for the asymptomatic patient, intermediate, greater than 3 minutes, up to 10 minutes Short descriptor: Tobacco-use counsel 3-10 min, C9802 Smoking and tobacco cessation counseling visit for the asymptomatic patient, intensive, greater than 10 minutes. Smoking is the leading preventable cause of premature death, resulting in about 480,000 deaths annually from diseases such as cardiovascular disease, respiratory disease, and cancer.iBy providing these services, you can help your patients move towards a life free from the destructive impact of commercial tobacco*, which can reduce their risk of many potentially fatal diseases and put them on track for a healthier lifestyle. The practitioner and patient have the flexibility to choose between intermediate (more than 3 minutes but less than 10 minutes), or intensive (more than 10 minutes) cessation counseling sessions for each attempt. CPT 1003F allows when billed with modifier SE 1/j,Q}"5iKW; Finding Medicare fee schedule HOw to Guide, Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee, LCD and procedure to diagnosis lookup How to Guide, Medicare claim address, phone numbers, payor id revised list, Medicare Fee for Office Visit CPT Codes CPT Code 99213, 99214, 99203. You let them know that as the number one cause of preventable death in the country, you recommend to all your patients who smoke that they consider quitting. Designed by Elegant Themes | Powered by WordPress, The temporary HCPCS G codes G0375 and G0376, which are currently used to bill for Smoking and Tobacco Use Cessation Counseling services, are effective only through December. Reply. The CMS will allow two individual tobacco cessation counseling attempts per year. As with any claim, Medicare may decide to conduct post-payment reviews to determine that the services provided are consistent with coverage instructions. All Rights Reserved to AMA. JavaScript is disabled. Intermediate sessions (code 99406) represent counseling the patient for 310 minutes, while intensive sessions (code 99407) describe counseling the patient for greater than 10 minutes. The main CPT Codes that are used for RPM are 99453, 99454, 99457, 99458. . These are in addition to the two CPT Codes 99406 and 99407 that currently are used for tobacco cessation counseling for symptomatic iindividuals. re: Medicare denying CPT 82948. kotor things to do before leaving taris; can you wash bissell crosswave brush in the washing machine; lg dishwasher keeps counting down from 4. jessica hunsden carey; pasco county deaths 2022; mobile homes for rent in austin, tx by owner; rcmp ppc qualification; does cpt code 99495 need a modifier. 2058, Issued: 09-30-10, Effective: 08-25-10, Implementation: 01-03-11) When denying claims for counseling to prevent tobacco use services submitted without diagnosis codes 305.1 or V15.82, contractors shall use the following messages: MSN 15.4: The information provided does not support the need for this service or item. Its complete definition, defined by the American Medical Association Current Procedural Terminology 2012, is "a significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service. The diagnosis code should reflect the condition the patient has that is adversely affected by tobacco use or the condition the patient is being treated for with a therapeutic agent whose metabolism or dosing is affected by tobacco use. Claims for these counseling services must be submitted with the appropriate diagnosis code. Modifier 59 is used to identify procedures/services that are . 3. When performed on the same date of service as a psychotherapy session, Modifier 59 will be needed to indicate that Smoking and Tobacco Use Cessation Counseling was an independently performed service. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). Each attempt may include a maximum of four intermediate or intensive counseling sessions. For a better experience, please enable JavaScript in your browser before proceeding. Report the appropriate E&M code with modifier -25 along with the preventive medicine services code. Deductible and coinsurance will apply in a standard medical benefit. Use existing CPT codes 99406 and 99407 for smoking and tobacco-use cessation counseling visits. It is normally used to indicate that two or more procedures were performed during the same visit to different sites on the body. #1 Good Morning fellow coders, I would like to know your thoughts on billing 99406 (Smoking Cessation counseling 3-10 Min) when billing as an example the following codes today 99214-25 99406 90715 (TDaP admin) 90471 (Imunization Admin) CPT code denies out as bundled like is but if I add a mod 25 to 99406 Code correct allows it to go through. Contractors shall allow payment for a medically necessary E/M service on the same day as the smoking and tobacco-use cessation counseling service when it is clinically appropriate. For a better experience, please enable JavaScript in your browser before proceeding. Each attempt may include a maximum of 4 intermediate or intensive sessions, with the total These visits must be provided by a qualified health care provider. These new codes (effective on and after January 1, 2008) are: 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 than 10 minutes. Facilities should report the service on a UB-1450 form utilizing bill type 12X, 13X, 22X, 23X, 34X, 71X, 73X, 83X, or 85X with reimbursement mapping to the correct method of payment (usually the outpatient facility fee schedule). All our content are education purpose only. hT_HSQ:ui;IE,y+OaC)S70((I-!H,5`O!f=u])c}| >09h`q`b -'V-Q;zVU+8Z{?Bra|};2:k0;}Z ip`>UOtmGf3}7]VFK9 PZK}0,ZFrR1gOeE\]0s-s:5l.Aj[KnX'lO$]V#{dR_7mtVRjk\YJ 7bp.We($)6^BZ 99406 Two cessation attempts per year. Medicare will cover two (2) cessation attempts per year. 99407 Smoking cessation counseling, greater than 10 minutes Only one procedure code per day may be billed. Recent advocacy efforts by APA Services resulted in changes in NCCI edits which now allow psychologists to report smoking and tobacco use cessation counseling services (CPT codes 99406 or 99407) when performed at the same encounter as an individual psychotherapy session (codes 90832, 90834, and 90837). To reduce the risk of your claim(s) being denied for reporting noncovered/noncontracted codes, APA Services recommends that you check each commercial payer policy, as well as the list of codes included in your contract with each payer, to determine which codes are covered/reimbursed. Providers must keep patient record information on file for each Medicare patient for whom a Smoking and Tobacco-Use Cessation Counseling claim is made. 2008, contractors shall pay claims when billed with CPT codes 99406 and 99407. C9801: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes, Short descriptor: Tobacco-use counsel 3-10 min, C9802: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes. 99407 Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes. Contractors shall use Group Code CO, assigning financial liability to the provider, if a claim is received with no signed ABN on file. They are being replaced by two new CPT codes (99406 Smoking and tobaccouse cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes; and 99407 Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes). Search for jobs related to Does cpt code 99406 need a modifier or hire on the world's largest freelancing marketplace with 21m+ jobs. You must log in or register to reply here. Use tobacco and have been diagnosed with a recognized tobacco-related disease, 2. I looked into the X modifiers however none of the descriptions seem to apply, unless I am misreading them. Effective January 1, 2023, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes. | Medical Billing and Coding Forum - AAPC If this is your first visit, be sure to check out the FAQ & read the forum rules. Now, we have got the complete detailed explanation and answer for everyone, who is interested! F17.211: Nicotine dependence, cigarettes, in remission The National Correct Coding Initiative (NCCI) is a program developed by the Centers for Medicare and Medicaid Services (CMS) to promote correct coding methodologies and to control improper coding that leads to inappropriate payment of claims. No other tobacco cessation codes are eligible for waiver of coinsurance/deductible at this time. I changed from UHC Americhoice to Amerigroup midpost. Smoking cessation counseling must be provided by a physician, registered physicians assistant, registered nurse practitioner, or licensed midwife during a medical visit (no group sessions), and is only payable when accompanied by an the appropriate E&M code (99201-99205, 99211-99215) and/or the appropriate preventive medicine code (99383-99386, 99393-99396). Does the policy you have support that? codes 99202-99215 reported with modifier -25 on the E/M service. Health Effects of Cigarette Smoking Fast Facts and Fact Sheets. But a 99396 for example can take a modifier 25. How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO, What is Patient driven Grouping model how its working, Workers Compensation Medicare Set-Aside Arrangement (WCMSA) Full coverage, Understanding Medicare cost Reports and usage. All our content are education purpose only. Short descriptor: Tobacco-use counsel >10min Claims for smoking and tobacco use cessation counseling services G0436 and G0437 shall be submitted with diagnosis code V15.82, history of tobacco use, or 305.1, non-dependent tobacco use disorder. The beneficiary may receive another 8 sessions during a second or subsequent year after 11 full months have passed since the first Medicare covered cessation session was performed. National Center for Chronic Disease and Health Promotion, Office on Smoking and Health, 2013. | G0438, Age and wellness visits | Eligibility for Welcome to Medicare, Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes. I read today that you can also bill with T65.211A-T65.294A. In addition to the HCPCS code, these services must be billed with ICD-10 diagnosis code Z87.891 (personal history of tobacco use/personal history of nicotine dependence), ICD-9 diagnosis code V15.82. How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO, What is Patient driven Grouping model how its working, Workers Compensation Medicare Set-Aside Arrangement (WCMSA) Full coverage, Understanding Medicare cost Reports and usage. If you find anything not as per policy. Our billing service specializes in utilizing the most accurate add-on and modifiers with your routine codes to ensure your claims are safely maximized. 2016-11-09 Does that need a gt modifier as well and should I put an additional modifier of 25 on the CPT 99214 code. CPT Medicine Codes and Modifiers Table of Codes and Modifiers Service or Procedure Codes or Code Ranges Required 99397 and additional screening codes 99406-99409 and 96160) when reported in conjunction with immunization administrative services (90460-99474) .

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