Smoking and tobacco cessation counseling visits are now covered only if a specific health condition is indicated on a claim. Namely, these services will no longer be considered for reimbursement if billed without specific diagnosis codes determined by this new policy. Please keep reading this bulletin to find out which CPT and diagnosis codes have been affected.Effective November 15, 2021, Horizon NJ Health pays for smoking cessation services and an evaluation and management service performed on the same day only if specific diagnosis codes are reported on a claim. This clinical update applies to NJ FamilyCare/Medicaid benefit plans. Namely, the following procedure codes are affected:
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