Prior Auth Required

99208 - Management (E&M) service (e.g., ), not paid separately and not covered by and . For

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceManagement (E&M) service (e.g., ), not paid separately and not covered by and . For
Procedure / Service Description

PCPs are responsible for screening for smoking and tobacco use among patients of all ages, providing - offered, and follow-up. Counseling lasting less than three minutes is considered part of an Evaluation and Management (E&M) service (e.g., 99202-99215), not paid separately and not covered by 99406 and 99407. For additional information about this benefit and the Alliance Tobacco Cessation Support Program (TCSP), please see Policy 401-3109 – Comprehensive Tobacco Cessation Services or refer to Section 13: Health Education

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.