Reminder: Tobacco cessation counseling billing

Priority Health pays for tobacco cessation counseling, but documentation must quantify the code(s) billed.

Documentation requirements

Document the exact time spent with the patient involving smoking cessation counseling.

Document what was discussed during this counseling session (plans to decrease smoking and/or steps to quit smoking)

Documentation must support the code being billed.

Examples of inadequate documentation

These examples lack a) the exact time and b) what was discussed.

"Spent greater than 3 minutes counseling the patient on smoking."

"Spent between 3 to 10 minutes counseling the patient on smoking."

"Spent over 10 minutes counseling the patient on smoking."

Questions?

For more details, see Procedures & services > Medical/surgical > Tobacco cessation counseling.