What is the reimbursement by Medicare for Smoking Cessation counseling for an in-patient acute care facility? If Medicare does reimburse an acute care facility, what is the code for billing?
The Medicare National Coverage Decision on tobacco cessation counseling says that counseling is covered for both outpatient and hospitalized beneficiaries. It also says that inpatient hospital stays with the principal diagnosis of Tobacco Use Disorder are not reasonable and necessary for the effective delivery of tobacco cessation counseling services. Therefore, CMS will not cover tobacco cessation services if tobacco cessation is the primary reason for the patient’s hospital stay. Medicare will pay an acute care facility for smoking cessation counseling.
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