tci E/M Coding Alert - 2023 Issue Q3

Reader Questions: Consider Vaping Synonymous with Smoking for Cessation Counsel

Question: During a follow-up evaluation and management (E/M) visit for chronic sinusitis and pharyngitis, the provider asked if the patient smoked. The patient attested that they didn’t smoke, they vaped. The provider then performed smoking cessation counseling for eight minutes. Do smoking cessation counseling CPT®codes count if the provider counsels the patient to stop vaping? South Carolina Subscriber Answer: Yes. According to the September 2020 issue of CPT®Assistant, coders may use smoking cessation counseling codes for vaping cessation counseling. So, you may report smoking cessation counseling codes, such as 99406 (Smoking and tobacco use cessation counseling...

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