KMAP BULLETIN: Tobacco Cessation Counseling via Telemedicine During COVID-19 Emergency
Date: 04/13/20
KMAP GENERAL BULLETIN 20067 (PDF)
Effective with dates of service on and after March 12, 2020, tobacco cessation counseling will be allowed by way of telecommunication technology. These codes are currently covered face-to-face only. This policy does not change or modify the current coverage but allows for an additional delivery method. Allowed provider types and specialties will remain unchanged. Telemedicine services (including telephonic contact) can be made when there is verbal consent received from the participant (to be followed up by written approval) in the medical record. Tele-video communication can only be utilized if that contact is HIPAA compliant. Reimbursement will be the same as a face-to-face visit. The appropriate codes are 99406, 99407 and S9453.
When providing these services via telemedicine, the POS should be noted as 02.
| Code | Description |
|---|---|
| 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 |
| S9453 | Smoking cessation classes, non-physician provider, per session |
The above CPT/HCPCS codes must be billed with an appropriate ICD-10 code to signify that the beneficiary receiving the service, is a tobacco user. ICD-10 codes appropriate to use are: The range F17.and O99.33 - Z72.0
Per Executive Order No. 20.08: This policy will remain in force until rescinded, until May 1, 2020, or until the statewide State of Disaster Emergency proclaimed on March 12, 2020, relating to COVID-19 expires, whichever is earlier.
Note: The effective date of the policy is March 12, 2020. The implementation of State policy by the KanCare managed care organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates, once the policy is implemented.