tci E/M Coding Alert - 2022 Issue Q4

Reader Questions: Consider Vaping a Form of Smoking When Coding Cessation Counseling

Question: During a follow-up E/M visit for a 19-year-old patient’s chronic asthma, the pulmonologist asked if the patient smoked. The patient attested that they didn’t smoke, they vaped. The physician then performed smoking cessation counseling for 8 minutes. Do smoking cessation counseling CPT® codes count if the provider counsels the patient to stop vaping? South Carolina Subscriber Answer: Yes, you may report smoking cessation counseling codes, such as 99406 (Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes) and 99407 (… intensive, greater than 10 minutes), for counseling related to...

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