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Modifier 25: Same-day E/M billing When CPT Code 99404 is billed on the same date of service as a preventive medicine examination (99381-99397) or a problem-oriented E/M visit, Modifier 25 must be appended to the E/M code

This isn't cigarette smoke or the smell of a smoky room

There is no beneficiary copay or deductible for this preventive service when billed correctly

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If 99406 is billed alongside an E&M service on the same date, the cessation counseling must be documented as a distinct service

And they've been doing the same study for 10 years, allowing for comparison from year to year