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Billing CPT Code 99406 with an E/M

  1. #1
    Smile Billing CPT Code 99406 with an E/M
    Medical Coding Books
    Good Morning fellow coders, I would like to know your thoughts on billing 99406 (Smoking Cessation counseling 3-10 Min) when billing as an example the following codes today

    90715 (TDaP admin)
    90471 (Imunization Admin)

    CPT code denies out as bundled like is but if I add a mod 25 to 99406 Code correct allows it to go through. Being that 99406 is in the E/M section I am thinking it's ok to bill this way. Any advice?

  2. #2
    You are correct it is 99214-25
    Make sure it is clearly documented that smoking cessation was talked about.

  3. #3
    Default 99406 and 99214 with modifer
    the 25 modifier has to be put on the E/M code not the 99406 code.

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