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Wiki E/M Office Visit with 90833 and 99407

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HeatherCornelius

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Hi there,

If our Psychiatric Mental Health Nurse Practitioner, provides a significantly separately identifiable E/M service, 16+ minutes of psychotherapy and tailored smoking cessation counseling for 10 minutes. Are we able to bill 99213-25, 90833, 99407? Or would that be considered unbundling?


Thank you,

Heather
 
I'd consider smoking cessation counseling part of the psychotherapy 30 min code. NCCI agrees, 99407 is column 2 code to 90833, and has modifier indicator of 0 meaning no modifier will bypass the edit.
 
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