E/M, Physical and Smoking Cessation Same Day Billing Modifiers

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1
Location
Waterbury, CT
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0
I work in a busy little internal medicine practice and once in awhile my providers will bill and e/m code with a physical AND also smoking cessation. I know that I have to use a 25 mod on the E/M code, then I bill the physical with no modifier... but what do you do for smoking cessation code 99406? Does it even need a modifier? I tried using 59 on 99406 but that doesn't seem appropriate. Thank you for any help and guidance in advance!
 

njycarter17

Contributor
Messages
23
Location
Radcliff, KY
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0
9939X DX: Z00.00
9921X - 25 DX: problems addressed
99406 - 59 DX: F17.2XX and Z71.6

Our primary care clinics bill these a lot - Anthem insurance does not cover 99406-99407 when done same day as preventative visit, it is considered bundled. Other insurances we have been getting reimbursed.
 
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