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Thread: Need an E/M Expert

  1. #1
    Join Date
    Apr 2007

    Default Need an E/M Expert

    AAPC: Back to School
    Can we use a preventive medicine CPT with a smoking & tobacco cessation code?

    99395 25. V70.0
    99406 305.1

    Not sure on this one.

    Thanks in advance,

    Daniel, CPC

  2. #2
    Join Date
    Apr 2007
    Modesto, CA; Central Valley Chapter


    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.


  3. #3
    Join Date
    Apr 2007
    Dover Seacoast New Hampshire


    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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