McClernon FJ, Van Voorhees EE, English J, Hallyburton M, Holdaway A, Kollins SH
Reimbursement and Coding Considerations CPT 99406 is time-based and requires documentation of 3 to 10 minutes of counseling Modifier -25 must be appended to the E/M code when cessation counseling is provided on the same day as a separate E/M service CPT 99407 should be used instead if counseling exceeds 10 minutes Coverage is commonly provided by Medicare and many commercial payers Diagnosis codes related to tobacco use (e.g., nicotine dependence) should support medical necessity Proper coding ensures accurate reimbursement and compliance with payer requirements
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[BMJ Open] Holford TR, Meza R, McKay LA, Clarke L, Racine B, Meza R, Land S, Jeon J, Feuer EJ
Turgano-Yedro M, Trillo-Calvo E, Navarro IRF, Maya-Viejo JD, Gonzlez Villaescusa C, Echave Sustaeta JM, Doa E, Alczar Navarrete B (2023) Inhaler adherence in COPD: a crucial step towards the correct treatment
