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CPT 99396 vs G0439: Critical Billing Differences The most operationally important difference is the physical exam

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For CPT Code 99404, the clinical note must establish three things clearly: the patient is presenting for a well/preventive encounter (not for a problem or illness), the face-to-face counseling time meets the 60-minute threshold, and the content of the session falls within the scope of preventive counseling topics listed in the CPT descriptor

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