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99407 Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes. These individuals who do not have signs or symptoms of tobacco-related disease will be covered under Medicare Part B when the above conditions of coverage are met, subject to certain frequency and other limitations. People with behavioral health conditions who smoke cigarettes are four times more likely to die prematurely than those who do not smoke. Contractors shall use Group Code PR, assigning financial liability to the beneficiary, if a claim is received with a signed ABN on file. Preventive Medicine Service plus 50% of the problem-oriented E/M service code when that code is appended with modifier 25. These handy quick reference sheets included at-a-glance MDM requirements for office, hospital, nursing home and home and residence services. <3 -25="" a="" and="" appended="" applicable="" as="" be="" cessation="" code="" counseling="" cpt="" date.="" distinct="" e="" either="" hcpcs="" is="" minutes="" modifier="" not="" on="" or="" p="" reimbursable="" reporting="" same="" separate="" service.="" service="" should="" the="" to="" tobacco="" when=""><3 e="" in="" included="" is="" minutes="" p="" service.="" the=""> These medical records can be used in any post-payment reviews and must include standard information along with sufficient patient histories to allow determination that the steps required in the coverage instructions were followed. 99407 Smoking cessation counseling, greater than 10 minutes Only one procedure code per day may be billed. 99406, 99407 None SA, SB, GC, U1, U7, U9, 24, 25, 57, 99 . 2006;145:839844. 99406 denial for medicare | Medical Billing and Coding Forum - AAPC .As usual, we start from the cluster created in the quick start documentation:. Each attempt may include a maximum of four intermediate or intensive counseling sessions. F17.210: Nicotine dependence, cigarettes, uncomplicated Each attempt may include a maximum of 4 intermediate or intensive sessions, with a total of up to 8 face-to-face sessions during a 12-month period for individuals who use tobacco regardless of whether there are signs or symptoms of tobacco-related disease.