tci E/M Coding Alert - 2014 Issue 2

Reader Question: Ensure Face-to-Face Counseling for 99407 with 99213

Question: I am billing 99407 with 99213 and getting denials. I have used the modifier 25 with 99213, but it seems to be asking for a modifier for the 99407. Can anyone help me with this modifier? Also I am using TOS 9 for consultation, would this be correct or should I be using TOS of 1? New Jersey Subscriber Answer: The code 99407 describes “Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes.” This code may be reported in addition to other E/M services provided on the same day, but it does require...

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