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Click here for more sample CPC practice exam questions and answers with full rationale

Smoking Cessation billing

Hi!

I’m hoping some of you have experience with billing and reimbursement for CPT 99406/99407 smoking cessation counseling. We are an internal medicine practice (pcp) and are looking for some guidance on billing requirements. I read that Medicare covers 8 cessation counseling sessions per year (not per provider) so that part I understand.

When are we allowed to bill for it? Can it be billed at the same time as a annual physical (for non Medicare) or at the same time as a Medicare Wellness visit G0438/G0439? Do we just need to add modifier 25 to the E/M?

I would greatly appreciate any feedback. THANKS!!

Medical Billing and Coding Forum