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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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