September 18, 2008
Billing update on smoking and tobacco use cessation counseling
Effective Date: July 1, 2008
Implementation Date: December 12, 2008
Summary
Change request (CR) 6163 updates previous instructions issued with CR 5878 (released February 1, 2008) to remove outpatient physical therapy provider (OPT) bill type 74x and comprehensive outpatient rehabilitation facility (CORF) bill type 75x from the list of applicable bill types for smoking and tobacco cessation counseling, effective July 1, 2008.
In addition, CR 6163 removes revenue code 029x (durable medical equipment) from being billable on a bill type 75x because CORFs do not bill DME.
Effective July 1, 2008, only the following revenue codes are allowable for reporting CORF services on bill type75x:
0270, 0274, 0279, 0410, 0412, 0419, 042x, 043x, 044x, 0550, 0559, 0560, 0569, 0636, 0771, 0900, 0911, 0914, 0919.
Note: Billed revenue codes not listed above will be returned to the provider.
CR 6163, from which this article is taken, updates:
1. CR 5878 (Smoking and Tobacco Use Cessation Counseling Billing Code Update to Medicare), released February 1, 2008
2. The Medicare Claims Processing Manual Chapter 5 (Part B Outpatient Rehabilitation and CORF/OPT Services), sections 100.1.1 (Allowable Revenue Codes on CORF 75X Bill Types) and 100.8 (Billing for DME, Prosthetic and Orthotic Devices, and Surgical Dressings), and chapter 32 (Billing Requirements for Special Services), section 12.3 (FI Billing Requirements) to reflect that these bill types are not applicable for smoking and tobacco cessation counseling.
Source: CMS MLN Matters Article MM6163
