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Thread: Medicare-recognized practitioner

  1. #1

    Default Medicare-recognized practitioner

    AAPC: Back to School
    Please excuse my ignorance here, but I need clarification here please.....

    In regards to smoking cessation, CMS states the counseling is covered when performed by a qualified physician or other Medicare-recognized practitioner.

    My question is...what is the definition of a Medicare-recognized practitioner? I am assuming here it would be a MD, NP, or PA. Would a health coach or RN fall into that category? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  2. #2


    Any takers? Also, if the smoking cessation was performed in a group setting, how would you report this? Would it still be 99406/99407? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

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