Need an E/M Expert

daniel

True Blue
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Can we use a preventive medicine CPT with a smoking & tobacco cessation code?

example;
99395 25. V70.0
99406 305.1

Not sure on this one.

Thanks in advance,

Daniel, CPC
 
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225
Location
Modesto, CA; Central Valley Chapter
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Because the 99406 is based on time - the documentation needs to be clear.....here is my preventive exam; here is my cessation counseling for 7 minutes.

We have not billed them together but I did not find anything to show that we cannot. I think documentation is going to be 'key' here.

thanks
Tina
 

Pam Brooks

True Blue
Local Chapter Officer
NAB Member
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2,113
Location
South Berwick, ME
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Because there are not any documentation guidelines in terms of time spent for preventative medicine CPT codes (99381-99397), it is difficult to "carve out" the time for the smoking cessation. We do not bill these separately when patients present for routine care. You may bill the smoking cessation when billing E&M office visits 99201-99205, 99212-99215, as long as the documentation is separately identifiable and supports both. Use a -25 modifier on the office visit.

Pam Brooks, CPC
 
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