Prior Auth Required

99406 - any office audit for codes (smoking and tobacco cessation counseling visit; intermediate, greater than 3

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceany office audit for codes (smoking and tobacco cessation counseling visit; intermediate, greater than 3
Procedure / Service Description

PCPs are responsible for screening for smoking and tobacco use among patients of all ages, providing - counseling, and making appropriate referrals. Smoking and tobacco cessation counseling must be provided by a physician or other qualified health professional face-to-face. Supporting documentation is required for any office audit for codes 99406 (smoking and tobacco cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes) and 99407 (smoking and tobacco cessation counseling visit; intensive, greater than 10 minutes). Please note: 99407 is not to be billed in conjunction with 99406. Documentation must include

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.