Smoking cessation hcpcs code

99406-Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes and up to 10 minutes 99407-Smoking and tobacco use cessation counseling visit, intensive, greater than 10 minutes These codes reflect behavior-change intervention services and should be precluded by a validation that the patient's readiness was assessed.CPT Codes Tobacco Cessation Counseling or Services: 99406, 99407 ICD-10 CM Diagnosis Codes Tobacco Cessation Counseling or Services: Z71.6 HCPCS Codes Tobacco Cessation Counseling or Services: G0436, G0437 Tobacco Cessation Classes: S9453 CPT II Codes Tobacco Use Assessment: 1000F, 1031F, 1032F, 1033F, 1034F, 1035F, 103 Tobacco Cessation ...• 99407 – Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes. CR 5878, from which this article is taken announces that the temporary HCPCS G codes G0375 and G0376, which are currently used to bill for Smoking and Tobacco Use Cessation Counseling services, are effective only through December31, 2007. Smoking cessation counseling can help you quit smoking. Eligibility. Medicare Part B covers two smoking cessation counseling attempts each year if you use tobacco. Each counseling attempt includes up to four face-to-face sessions with your provider, for a total of up to eight sessions.. Note: Over-the-counter drug treatments for smoking cessation, such as nicotine patches and gum, are not ...Sep 26, 2017 · 09/2010 - Effective for claims with dates of service on and after August 25, 2010, CMS will cover tobacco cessation counseling for outpatient and hospitalized Medicare beneficiaries: Who use tobacco, regardless of whether they have signs or symptoms of tobacco-related disease; Who are competent and alert at the time that counseling is provided ... The LSTH study is part of the NCI's Smoking Cessation at Lung Examination (SCALE) collaboration, ... we will conduct additional analyses among non-cancer controls who have received intensive cessation counseling using HCPCS/CPT codes. We will vary the costs of lung cancer and non-lung cancer care among smokers to test the net impact of ...Prevention and screening. Keeping patients healthy, providing advice about health risks and recommending screening tests and immunizations are the heart of primary care medicine. CPT uses one set of codes and Medicare another, and you'll find coding information on both here, along with guidance on billing for split visits.If a patient received these types of services, submit G-code G9906. Two different CPT time-based codes may be used to capture this service: 99406-Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes and up to 10 minutes 99407-Smoking and tobacco use cessation counseling visit, intensive, greater than 10 ...G0436 is a valid 2022 HCPCS code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes or just " Tobacco-use counsel 3-10 min " for short, used in Medical care . Share this page HCPCS ModifiersTwo different CPT time-based codes may be used to capture this service: 99406- Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes and up to 10 minutes. 99407- Smoking and tobacco use cessation counseling visit, intensive, greater than 10 minutes.HCPCS Code: S9453. HCPCS Code Short Name: Smoking cessation class. HCPCS Coverage Code: Not payable by Medicare G0436 is a valid 2022 HCPCS code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes or just " Tobacco-use counsel 3-10 min " for short, used in Medical care . Share this page HCPCS ModifiersPrint Version. There are two CPT® smoking cessation codes that replaced CMS's temporary HCPCS codes (99406--99407). These are time based codes. The first requires up to three minutes of time spent in smoking cessation, and the second 3-10 minutes. The note must document the patient's tobacco use, the adverse effects the tobacco has on the ...99406-Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes and up to 10 minutes 99407-Smoking and tobacco use cessation counseling visit, intensive, greater than 10 minutes These codes reflect behavior-change intervention services and should be precluded by a validation that the patient's readiness was assessed.Coverage and Benefit Resources. HCPCS/CPT Codes. G0442 - Annual alcohol misuse screening, 15 minutes. G0443 - Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes. Frequency. G0442 - Annually. G0443 - For those who screen positive, four times per year. Coverage. Screening: All Medicare beneficiaries are eligible. HCPCS code T1015 include, but are not limited to: • Dental services • Family planning services • Preventive medical exams ... Well-child visits • Wellness therapies (e.g., diabetes self-management therapy, medical-nutrition therapy, tobacco-cessation counseling) • Women, Infants, and Children (WIC) services99407 - Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes A modifier 25 may be appropriate to append to the primary E/M visit code. Note that as of September 30, 2016 HCPCS codes G0436 and G0437 for smoking cessation have been deleted. Some commonly used ICD-10 diagnosis codes used, if appropriate given your ... The LSTH study is part of the NCI's Smoking Cessation at Lung Examination (SCALE) collaboration, ... we will conduct additional analyses among non-cancer controls who have received intensive cessation counseling using HCPCS/CPT codes. We will vary the costs of lung cancer and non-lung cancer care among smokers to test the net impact of ...CPT codes 99406 and 99407 can be performed via telehealth. Smoking cessation interventions and services must. Please see below a list of Dx codes appropriate when billing CPT code 99406 or 994 07. F CODES. However, an E/M service code with the F CODES. However, an E/M service code with the modifier - 25 appended should be reported to indicate ...This measure defines tobacco cessation counseling as lasting 3 minutes or less. Services typically provided under CPT codes 99406 and 99407 satisfy the requirement of tobacco cessation intervention, as these services provide tobacco cessation counseling for 3-10 minutes. If a patient received these types of services, submit G-code G9906.Procedures/Professional Services (Temporary Codes ) G0436 is a valid 2022 HCPCS code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes or just " Tobacco-use counsel 3-10 min " for short, used in Medical care.HCPCS CODE(S) Medicare & some commercial payers For private insurance, append Modifier 33 to services that are not inherently preventive to indicate an ACA service e.g., 99201-99215 CHLAMYDIA SCREENING 86631 Chlamydia antibody 86632 Chlamydia IGm 87110 Chlamydia culture any sourcecodes G0375 and G0376, which are currently used to bill for Smoking and Tobacco Use Cessation Counseling services, are effective only through December 31, 2007. • They are being replaced by two new Current Procedural Terminology (CPT) codes: • 99406 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes Effective 5/31/2019, we will introduce new Coding Integrity Reimbursement Guidelines. These coding rules are published within the Medicare Claims Processing Manual, Current Procedural Terminology (CPT ®) by the American Medical Association (AMA) and ICD-10-CM guidelines governed by Medicare and Medicaid Services (CMS) and the National Center ...HCPCS Code S9453 Smoking cessation classes, non-physician provider, per session Commercial Payers (Temporary Codes) S9453 is a valid 2022 HCPCS code for Smoking cessation classes, non-physician provider, per session or just “ Smoking cessation class ” for short, used in Other medical items or services . Share this page HCPCS Modifiers Tobacco Cessation CPT Codes for Identification G9791 MOST RECENT TOBACCO STATUS IS TOBACCO FREE ... S4995 SMOKING CESSATION GUM S9075 SMOKING CESSATION TREATMENT S9453 SMOKING CESSATION CLASSES NON-PHYSICIAN PROVIDER PER SESSION Page 2 of 2. Author: t7523 Created Date: 9/26/2017 10:52:55 AM ...Tobacco Cessation CPT Codes for Identification G9791 MOST RECENT TOBACCO STATUS IS TOBACCO FREE ... S4995 SMOKING CESSATION GUM S9075 SMOKING CESSATION TREATMENT S9453 SMOKING CESSATION CLASSES NON-PHYSICIAN PROVIDER PER SESSION Page 2 of 2. Author: t7523 Created Date: 9/26/2017 10:52:55 AM ...HCPCS code T1015 include, but are not limited to: • Dental services • Family planning services • Preventive medical exams ... Well-child visits • Wellness therapies (e.g., diabetes self-management therapy, medical-nutrition therapy, tobacco-cessation counseling) • Women, Infants, and Children (WIC) servicesCoverage and Benefit Resources. HCPCS/CPT Codes. G0442 - Annual alcohol misuse screening, 15 minutes. G0443 - Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes. Frequency. G0442 - Annually. G0443 - For those who screen positive, four times per year. Coverage. Screening: All Medicare beneficiaries are eligible. Revised billing guidance for CPT code 99407 - Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes Removed unit limits on tobacco dependence counseling for billing codes 99406 and 99407 Removed restriction to a limited set of primary diagnosis codes for billing codes 99406, 99407 and D1320CPT codes for tobacco cessation counseling for Symptomatic individuals: – 99406- greater than 3 minutes up to 10 minutes – 99407- greater than 10 minutes • HCPCS codes for tobacco cessation counseling for Asymptomatic individuals: (used in addition to E&M code) – G0436- greater than 3 minutes up to 10 minutes; intermediate When billing for more than three minutes of smoking and tobacco cessation counseling, use the following HCPCS codes: G0375: Smoking and tobacco-use cessation counseling visit; intermediate ... Aug 16, 2016 · Counseling to prevent tobacco use is a time-based service. The physician/practitioner's documentation must show the amount of time spent on each counseling visit. HCPCS Code G0436 – Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes. Effective April 1, 2021, Medicaid expanded the list of practitioners who can be reimbursed for providing Smoking Cessation Counseling (SCC) services to members to include registered nurses, clinical psychologists, licensed clinical social workers, licensed master social workers, and licensed practical nurses.These are in addition to the two CPT codes 99406 and 99407 that currently are used for smoking and tobacco-use cessation counseling for symptomatic individuals. The following HCPCS codes should be reported when billing for counseling to prevent tobacco use effective January 1, 2011: Sep 26, 2017 · 09/2010 - Effective for claims with dates of service on and after August 25, 2010, CMS will cover tobacco cessation counseling for outpatient and hospitalized Medicare beneficiaries: Who use tobacco, regardless of whether they have signs or symptoms of tobacco-related disease; Who are competent and alert at the time that counseling is provided ... S9453 is a valid 2022 HCPCS code for Smoking cessation classes, non-physician provider, per session or just " Smoking cessation class " for short, used in Other medical items or services . Share this page HCPCS Modifiers In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.Sep 26, 2019 · Also, in keeping aligned with CMS guidelines, Horizon BCBSNJ shall limit smoking and tobacco-use cessation counseling (99406 or 99407) in any combination to eight times within a one-year period. The procedure codes and nomenclature used in this Policy are subject to revision and/or change by the American Medical Association. IPPE HCPCS Codes Billing Code Descriptors: G0402. Initial preventive physical examination; face-to-face visit, services limited ... - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes . 99407 - Smoking and tobacco-use cessation counseling visit; intensive, greater ...Coverage and Benefit Resources. HCPCS/CPT Codes. G0442 - Annual alcohol misuse screening, 15 minutes. G0443 - Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes. Frequency. G0442 - Annually. G0443 - For those who screen positive, four times per year. Coverage. Screening: All Medicare beneficiaries are eligible. The Medicare beneficiary has a zero dollar out-of-pocket liability. HCPCS/CPT Code Type of Counseling Description 99406 Intermediate Smoking and tobacco use cessation counseling visit is greater...For example, older documentation states that G0436 Smoking Cessation Counseling (3-10min) and G0437 Smoking Cessation Counseling (10-20min) is approved for coding with wellness visits; however, as of 2016, these codes have been replaced with 99406 (Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 ...The physician prescribes bronchodilators and also provides seven minutes of face-to-face smoking cessation counseling. The physician's codes for these services are 99214-25 and 99406. This patient is symptomatic, so the smoking cessation counseling is reported with CPT codes 99406-99407 rather than HCPCS codes G0436-G0437.S9453 is a valid 2022 HCPCS code for Smoking cessation classes, non-physician provider, per session or just " Smoking cessation class " for short, used in Other medical items or services . Share this page HCPCS Modifiers In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.HCPCS Deleted Code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes G0436 Deleted code, effective Sep. 30, 2016 HCPCS code G9016 for Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] as maintained by CMS falls under Medicare Demonstration Projects . Subscribe to Codify by AAPC and get the code details in a flash.When billing for more than three minutes of smoking and tobacco cessation counseling, use the following HCPCS codes: G0375: Smoking and tobacco-use cessation counseling visit; intermediate ... codes G0375 and G0376, which are currently used to bill for Smoking and Tobacco Use Cessation Counseling services, are effective only through December 31, 2007. • They are being replaced by two new Current Procedural Terminology (CPT) codes: • 99406 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes CPT CODES 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 99407 Smoking and tobacco use cessation counseling visit; intermediate, greater than 10 minutes HCPCS CODES S9453 Smoking cessation classes, non-physician provider, per session ICD-10-CM CODES Jul 27, 2021 · Smoking 4 cigarettes per day. Spent 10 minutes for counseling and patient education about the dangers of smoking, health risk, and education hand out given to the patients for awareness. Discussed in detail complications with treatment plan due to continued use of tobacco products. The patient listen carefully and accepted to stop smoking. Bust 3 Myths That Could Be Holding Up Your Smoking Cessation Reporting - (Feb 24, 2009) This truth plan reveals 99406, 99407 minimum requirements to avoid overwork. With American Heart Month under way, you-ve got to get your stop-smoking counseling documentation down pat or risk paybacks. Now that 99406 and 99407 are no longer new codes, [...]Procedures/Professional Services (Temporary Codes ) G0436 is a valid 2022 HCPCS code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes or just " Tobacco-use counsel 3-10 min " for short, used in Medical care. . Coverage and Benefit Resources. HCPCS/CPT Codes. G0442 - Annual alcohol misuse screening, 15 minutes. G0443 - Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes. Frequency. G0442 - Annually. G0443 - For those who screen positive, four times per year. Coverage. Screening: All Medicare beneficiaries are eligible. effective on or after oct. 1, 2016 the center for medicare and medicaid services (cms) will no longer allow use of healthcare common procedural coding system (hcpcs) codes g0436 smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes and g0437 smoking and tobacco …Procedures/Professional Services (Temporary Codes ) G0436 is a valid 2022 HCPCS code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes or just " Tobacco-use counsel 3-10 min " for short, used in Medical care. 2022 .Coverage and Benefit Resources. HCPCS/CPT Codes. G0442 - Annual alcohol misuse screening, 15 minutes. G0443 - Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes. Frequency. G0442 - Annually. G0443 - For those who screen positive, four times per year. Coverage. Screening: All Medicare beneficiaries are eligible. The following HCPCS codes should be reported when billing for smoking and tobacco- use cessation counseling services: 99406 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes. 99407 - Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutescurrent information and CPT/HCPCS codes to document and report services for reimbursement. ... The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. (2014). Atlanta: U.S. Department of Health and Human ... Tobacco cessation treatment ICD-10-CM ICD-10-CM Code ICD-10-CM Description Definition/tip F17.20 ...counseling visit" - CPT codes 99406 and 99407, and HCPCS procedure codes G0436 and G0437. ... Counseling for smoking cessation is one of a number of distinct preventive services mandated by national and state regulations [US Dept. of Labor]. Many different types of providers - not limited to but including chiropractors, physical and ...appropriate HCPCS code, such as HCPCS 99201-99215, to report an E/M service with modifier 25 to indicate that the E/M service is a separately identifiable service from 99406 or 99407. Contractors shall only pay for 8 counseling to prevent tobacco use sessions in a 12-month period. The beneficiary may receive another 8 sessions99407 - Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes A modifier 25 may be appropriate to append to the primary E/M visit code. Note that as of September 30, 2016 HCPCS codes G0436 and G0437 for smoking cessation have been deleted. Some commonly used ICD-10 diagnosis codes used, if appropriate given your ... In New York State (NYS), although the adult smoking rate is at a record low, tobacco use still claims approximately 28,000 lives annually, and approximately 2 million adult New Yorkers continue to smoke cigarettes.2 ABOUT THIS GUIDE Screening and counseling for smoking cessation are distinct preventive services mandated by many regulatoryCPT 99406: Intermediate smoking & tobacco-use cessation counseling visit (more than 3 minutes, up to 10 minutes) CPT 99407: Intensive smoking & tobacco-use cessation counseling visit (more than 10 minutes) According to the U.S. Department of Health and Human Services: 1) The combination of counseling and medication to quit.codes G0375 and G0376, which are currently used to bill for Smoking and Tobacco Use Cessation Counseling services, are effective only through December 31, 2007. • They are being replaced by two new Current Procedural Terminology (CPT) codes: • 99406 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes When billing for more than three minutes of smoking and tobacco cessation counseling, use the following HCPCS codes: G0375: Smoking and tobacco-use cessation counseling visit; intermediate ... CPT codes for tobacco cessation counseling for Symptomatic individuals: – 99406- greater than 3 minutes up to 10 minutes – 99407- greater than 10 minutes • HCPCS codes for tobacco cessation counseling for Asymptomatic individuals: (used in addition to E&M code) – G0436- greater than 3 minutes up to 10 minutes; intermediate HCPCS/ CPT Code Type of Counseling Description 99406 Intermediate Smoking and tobacco use cessation counseling visit is greater than three minutes, but not more than 10 minutes 99407 Intensive. In 2010, the U.S. Department of Health changed the Medicare-approved reimbursement for tobacco cessation > counseling to include all tobacco users for ...Counseling to prevent tobacco use is a time-based service. The physician/practitioner's documentation must show the amount of time spent on each counseling visit. HCPCS Code G0436 - Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes.Jul 01, 2011 · HCPCS Deleted Code for Smoking cessation treatment S9075 Deleted code, effective Jul. 1, 2011 Subscribe to Codify by AAPC and get the code details in a flash. When billing for more than three minutes of smoking and tobacco cessation counseling, use the following HCPCS codes: G0375: Smoking and tobacco-use cessation counseling visit; intermediate ... G9016 is a valid 2022 HCPCS code for Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] or just " Demo-smoking cessation coun " for short, used in Medical care . Share this page HCPCS ModifiersThe smoking cessation codes (99406 and 99407) have been assigned status indicator A in the Physician Fee schedule and as such are reportable to Medicare with the following parameters: ... There are HCPCS codes for Office-based, Telehealth opioid treatment (G2086-G2088). These codes reflect monthly bundled services for primary care. Who can ...1. 20. · This measure defines tobacco cessation counseling as lasting 3 minutes or less. Services typically provided under CPT codes 99406 and 99407 satisfy the requirement of tobacco cessation intervention, as these services provide tobacco cessation counseling for 3-10 minutes.Coverage and Benefit Resources. HCPCS/CPT Codes. G0442 - Annual alcohol misuse screening, 15 minutes. G0443 - Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes. Frequency. G0442 - Annually. G0443 - For those who screen positive, four times per year. Coverage. Screening: All Medicare beneficiaries are eligible. S9453 is a valid 2022 HCPCS code for Smoking cessation classes, non-physician provider, per session or just " Smoking cessation class " for short, used in Other medical items or services . Share this page HCPCS Modifiers In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.HCPCS/ CPT Code Type of Counseling Description 99406 Intermediate Smoking and tobacco use cessation counseling visit is greater than three minutes, but not more than 10 minutes 99407 Intensive.The appropriate codes to utilize to describe the work done in this procedure include 31623, 31629, 31653, and 31654. Had no peripheral needle biopsies been performed, then code 31629 would NOT be used. Hopefully, this clarifies the issue further. CMS Ceases Use of HCPCS G Codes for Smoking CessationThis measure defines tobacco cessation counseling as lasting 3 minutes or less. Services typically provided under CPT codes 99406 and 99407 satisfy the requirement of tobacco cessation intervention, as these services provide tobacco cessation counseling for 3-10 minutes. If a patient received these types of services, submit G-code G9906.HCPCS Code S4995 - Smoking cessation gum HCPCS Long Description: Contains all text of procedure or modifier long descriptions. As of 2013, this field contains the consumer friendly descriptions for the AMA CPT codes.Smoking Cessation . Nicotrol NS (Nicotine Nasal Spray), Nicotrol INHA( Nicotine Inhaler), Chantix (varenicline) ... This list of codes may not be all-inclusive. 2) Deleted codes and codes which are not ... HCPCS CODE . DESCRIPTION . NA . AVAILABLE DOSAGE FORMS: Nicotrol NS SOLN 10MG/ML (Nicotine Nasal Spray 10 MG/ML (0.5Two different CPT time-based codes may be used to capture this service: 99406- Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes and up to 10 minutes. 99407- Smoking and tobacco use cessation counseling visit, intensive, greater than 10 minutes.99406 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes. -99407 Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes o Note -These codes are used for inpatient billing, approved by the finance department. Again, they are not paid butCovered HCPCS Level II ®* Codes G0436 Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 Minutes, up to 10 minutes G0437 Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 10 minutes Covered ICD-10-PCS Code99407 - Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes A modifier 25 may be appropriate to append to the primary E/M visit code. Note that as of September 30, 2016 HCPCS codes G0436 and G0437 for smoking cessation have been deleted. Some commonly used ICD-10 diagnosis codes used, if appropriate given your ... When billing for more than three minutes of smoking and tobacco cessation counseling, use the following HCPCS codes: G0375: Smoking and tobacco-use cessation counseling visit; intermediate ... The code is payable in the facility and the non-facility setting. Yes, CPT codes 99406 and 99407 can be performed via telehealth. Smoking cessation interventions and services must be offered to current smokers. If smoking cessation counseling is provided, it must be documented separately. Smoking cessation counseling can be performed via ...Aug 24, 2016 · A: The HCPCS codes for tobacco cessation were created in 2011 to report the counselling services being provided to Medicare beneficiaries. The CPT codes for these services have slightly different descriptions: 99406, smoking and tobacco use cessation counseling visit; intermediate, greater than three minutes up to 10 minutes. 99407, smoking and ... codes G0375 and G0376, which are currently used to bill for Smoking and Tobacco Use Cessation Counseling services, are effective only through December 31, 2007. • They are being replaced by two new Current Procedural Terminology (CPT) codes: • 99406 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes The F codes are from the Mental and Behavioral Disorder category. The F17 codes are used if the patient is dependent on tobacco. The Z codes are used if there is NOT dependence on tobacco. The Z codes cannot be combined with an F17 code. The codes specific to maternal and newborn health (O99) and the toxic effects of tobacco (T65) are used by codes G0375 and G0376, which are currently used to bill for Smoking and Tobacco Use Cessation Counseling services, are effective only through December 31, 2007. • They are being replaced by two new Current Procedural Terminology (CPT) codes: • 99406 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes When billing for more than three minutes of smoking and tobacco cessation counseling, use the following HCPCS codes: G0375: Smoking and tobacco-use cessation counseling visit; intermediate ... Billing for hospitalists; smoking cessation documentation; patients' paperwork; group visit codes. By Bill Dacey. continued... The work RVU for 99213 in 2010 is .97. The work RVU for 99411 is .15 and for 99412 is .25. Even the one hour code is only a fourth of the 99213 rate. As you can see, these are different enough to raise concern.CPT CODES 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 99407 Smoking and tobacco use cessation counseling visit; intermediate, greater than 10 minutes HCPCS CODES S9453 Smoking cessation classes, non-physician provider, per session ICD-10-CM CODES Counseling to prevent tobacco use is a time-based service. The physician/practitioner's documentation must show the amount of time spent on each counseling visit. HCPCS Code G0436 - Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes.Smoking Cessation Treatment 3-10 minutes (Dx code 305.1) 99406 451 . Smoking Cessation Treatment >10 minutes (Dx code 305.1) 99407 451 . Smoking CessationTreatment Group >10 minutes (Dx code 305.1) 99407-HQ . SBIRT. H0049 or H0050HCPCS code T1015 include, but are not limited to: • Dental services • Family planning services • Preventive medical exams ... Well-child visits • Wellness therapies (e.g., diabetes self-management therapy, medical-nutrition therapy, tobacco-cessation counseling) • Women, Infants, and Children (WIC) servicesCounseling to prevent tobacco use is a time-based service. The physician/practitioner's documentation must show the amount of time spent on each counseling visit. HCPCS Code G0436 - Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes.CPT codes for tobacco cessation counseling for Symptomatic individuals: – 99406- greater than 3 minutes up to 10 minutes – 99407- greater than 10 minutes • HCPCS codes for tobacco cessation counseling for Asymptomatic individuals: (used in addition to E&M code) – G0436- greater than 3 minutes up to 10 minutes; intermediate The following two new Health Common Procedure Coding System (HCPCS) codes have been created for billing for the two new levels of smoking and tobacco-use cessation counseling Medicare now covers: • G0375 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes.The smoking cessation codes (99406 and 99407) have been assigned status indicator A in the Physician Fee schedule and as such are reportable to Medicare with the following parameters: ... There are HCPCS codes for Office-based, Telehealth opioid treatment (G2086-G2088). These codes reflect monthly bundled services for primary care. Who can ...Aug 24, 2016 · A: The HCPCS codes for tobacco cessation were created in 2011 to report the counselling services being provided to Medicare beneficiaries. The CPT codes for these services have slightly different descriptions: 99406, smoking and tobacco use cessation counseling visit; intermediate, greater than three minutes up to 10 minutes. 99407, smoking and ... The American Psychiatric Association provides a two-page resource discussing procedure coding for smoking cessation counseling. There are a number of different procedure codes that can be used to describe services provided to encourage changes in behavior of individuals who use tobacco. The resource identifies the CPT and HCPCS codes that ...HCPCS codes A9276 - A9278 will be set to noncovered and codes E2102 and A4238 will replace them as covered codes. Code A4238 includes all supplies and accessories, 1. Cpt code for smoking cessation counseling 2022HCPCS Deleted Code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes G0436 Deleted code, effective Sep. 30, 2016 Coverage and Benefit Resources. HCPCS/CPT Codes. G0442 - Annual alcohol misuse screening, 15 minutes. G0443 - Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes. Frequency. G0442 - Annually. G0443 - For those who screen positive, four times per year. Coverage. Screening: All Medicare beneficiaries are eligible. CPT Codes Tobacco Cessation Counseling or Services: 99406, 99407 ICD-10 CM Diagnosis Codes Tobacco Cessation Counseling or Services: Z71.6 HCPCS Codes Tobacco Cessation Counseling or Services: G0436, G0437 Tobacco Cessation Classes: S9453 CPT II Codes Tobacco Use Assessment: 1000F, 1031F, 1032F, 1033F, 1034F, 1035F, 103 Tobacco Cessation ... G0436 is a valid 2022 HCPCS code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes or just " Tobacco-use counsel 3-10 min " for short, used in Medical care . Share this page HCPCS ModifiersThis educational tool includes HCPCS/ CPT codes; diagnosis codes; coverage requirements; frequency requirements; and beneficiary liability for each Medicare preventive service. ... 99406 - Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes. 99407 - Smoking and ...Two different CPT time-based codes may be used to capture this service: 99406- Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes and up to 10 minutes. 99407- Smoking and tobacco use cessation counseling visit, intensive, greater than 10 minutes.Smoking and Tobacco Use Cessation Counseling Billing Code Update to Medicare - JA5878 . Note: ... FIs, carriers, and A/B MACs will pay for counseling services billed with HCPCS codes G0375 and G0376 for dates of service performed on and . after March 22, 2005, through December 31, 2007, andHCPCS Code. G0436. Smoking and tobacco cessation counseling visit for the asymptomatic ... HCPCS Code: S9453. HCPCS Code Short Name: Smoking cessation class. HCPCS Coverage Code: Not payable by Medicare Codes HCPCS S9075 Smoking cessation treatment HCPCS Procedure & Supply Codes WARNING: Code Deleted 2011-07-01 S9075 - Smoking cessation treatment The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.Effective April 1, 2021, Medicaid expanded the list of practitioners who can be reimbursed for providing Smoking Cessation Counseling (SCC) services to members to include registered nurses, clinical psychologists, licensed clinical social workers, licensed master social workers, and licensed practical nurses.When billing for more than three minutes of smoking and tobacco cessation counseling, use the following HCPCS codes: G0375: Smoking and tobacco-use cessation counseling visit; intermediate ... CPTII code 4000F identifies smoking cessation counseling administered for those with specific underlying comorbidities including COPD, asthma, and diabetes. HCPCS codes G0436, G0437, and S9453 correspond to smoking cessation counseling lasting 3 to 10 min, lasting more than 10 min, and counseling conducted in a nonphysician provider class ...When billing for more than three minutes of smoking and tobacco cessation counseling, use the following HCPCS codes: G0375: Smoking and tobacco-use cessation counseling visit; intermediate ... 99406-Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes and up to 10 minutes 99407-Smoking and tobacco use cessation counseling visit, intensive, greater than 10 minutes These codes reflect behavior-change intervention services and should be precluded by a validation that the patient's readiness was assessed.The CPT codes are listed below for billing for smoking cessation : 99406 - Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 99407 - Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes A modifier 25 may be appropriate to append to the primary E/M visit.This measure defines tobacco cessation counseling as lasting 3 minutes or less. Services typically provided under CPT codes 99406 and 99407 satisfy the requirement of tobacco cessation intervention, as these services provide tobacco cessation counseling for 3-10 minutes. If a patient received these types of services, submit G-code G9906.The following two new Health Common Procedure Coding System (HCPCS) codes have been created for billing for the two new levels of smoking and tobacco-use cessation counseling Medicare now covers: • G0375 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes.Procedures/Professional Services (Temporary Codes) G0437 is a valid 2022 HCPCS code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes or just “Tobacco-use counsel>10min” for short, used in Medical care. Smoking cessation counseling can help you quit smoking. Eligibility. Medicare Part B covers two smoking cessation counseling attempts each year if you use tobacco. Each counseling attempt includes up to four face-to-face sessions with your provider, for a total of up to eight sessions.. Note: Over-the-counter drug treatments for smoking cessation, such as nicotine patches and gum, are not ...Effective 5/31/2019, we will introduce new Coding Integrity Reimbursement Guidelines. These coding rules are published within the Medicare Claims Processing Manual, Current Procedural Terminology (CPT ®) by the American Medical Association (AMA) and ICD-10-CM guidelines governed by Medicare and Medicaid Services (CMS) and the National Center ...CPT codes for tobacco cessation counseling for Symptomatic individuals: – 99406- greater than 3 minutes up to 10 minutes – 99407- greater than 10 minutes • HCPCS codes for tobacco cessation counseling for Asymptomatic individuals: (used in addition to E&M code) – G0436- greater than 3 minutes up to 10 minutes; intermediate S9453 is a valid 2022 HCPCS code for Smoking cessation classes, non-physician provider, per session or just " Smoking cessation class " for short, used in Other medical items or services . Share this page HCPCS Modifiers In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes, up to 10 minutes. with another code combination or to a different CPT and/or HCPCS code(s). Nebraska CPT codes 99406 and 99407 are reimbursable.counseling visit" - CPT codes 99406 and 99407, and HCPCS procedure codes G0436 and G0437. ... Counseling for smoking cessation is one of a number of distinct preventive services mandated by national and state regulations [US Dept. of Labor]. Many different types of providers - not limited to but including chiropractors, physical and ...1. 20. · This measure defines tobacco cessation counseling as lasting 3 minutes or less. Services typically provided under CPT codes 99406 and 99407 satisfy the requirement of tobacco cessation intervention, as these services provide tobacco cessation counseling for 3-10 minutes.codes G0375 and G0376, which are currently used to bill for Smoking and Tobacco Use Cessation Counseling services, are effective only through December 31, 2007. • They are being replaced by two new Current Procedural Terminology (CPT) codes: • 99406 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes Jul 01, 2011 · HCPCS Deleted Code for Smoking cessation treatment S9075 Deleted code, effective Jul. 1, 2011 Subscribe to Codify by AAPC and get the code details in a flash. Healthcare Common Procedure Coding System Code: S9453. HCPCS Code Short Name: Smoking cessation class. HCPCS Coverage Code: Not payable by Medicare.CPT 99406: Intermediate smoking & tobacco-use cessation counseling visit (more than 3 minutes, up to 10 minutes) CPT 99407: Intensive smoking & tobacco-use cessation counseling visit (more than 10 minutes) According to the U.S. Department of Health and Human Services: 1) The combination of counseling and medication to quit.When billing for more than three minutes of smoking and tobacco cessation counseling, use the following HCPCS codes: G0375: Smoking and tobacco-use cessation counseling visit; intermediate ... Best Practices for Cessation: When selecting and developing tobacco treatment skills and programs, MDQuit encourages healthcare providers to stay up-to-date on clinical techniques and methods that have the strongest empirical support and can be considered "Best Practices" for tobacco cessation, often addressing both the physical and behavioral components of tobacco use and dependence.Tobacco Cessation Counseling Codes: WHAT PROVIDER CODES Services What FQHC bills to CMS CMS/ Medicare 2021 Fees CPT 99406 Smoking and tobacco use cessation counseling visit; intermediate, 4-10 minutes face-to-face G0466 (new patient) G0467 (est. patient) $236.73 $176.45 CPT 99407 Smoking and tobacco use cessation counseling visit;Aug 16, 2016 · Counseling to prevent tobacco use is a time-based service. The physician/practitioner's documentation must show the amount of time spent on each counseling visit. HCPCS Code G0436 – Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes. 99407 - Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes A modifier 25 may be appropriate to append to the primary E/M visit code. Note that as of September 30, 2016 HCPCS codes G0436 and G0437 for smoking cessation have been deleted. Some commonly used ICD-10 diagnosis codes used, if appropriate given your ... CPT CODES 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 99407 Smoking and tobacco use cessation counseling visit; intermediate, greater than 10 minutes HCPCS CODES S9453 Smoking cessation classes, non-physician provider, per session ICD-10-CM CODES Coding and Billing for Smoking Cessation Counseling • MassHealth transmittal letters detailing the benefit, coding, payment, and related regulations have been sent to ... (HCPCS) Service Code G0376. Distinct modifiers are required for claims processing. See Table 3 (Tobacco Cessation Coding and Rates Chart) enclosed, for codes which vary by ...Smoking cessation counseling can help you quit smoking. Eligibility. Medicare Part B covers two smoking cessation counseling attempts each year if you use tobacco. Each counseling attempt includes up to four face-to-face sessions with your provider, for a total of up to eight sessions.. Note: Over-the-counter drug treatments for smoking cessation, such as nicotine patches and gum, are not ...Aug 23, 2007 · HCPCS code, such as HCPCS 99201– 99215, to report an E/M service with modifier 25 to indicate that the E/M service is a separately identifiable service from G0375 or G0376. Contractors shall only pay for 8 Smoking and Tobacco-Use Cessation Counseling sessions in a 12-month period. The beneficiary may receive another 8 sessions during a Procedures/Professional Services (Temporary Codes ) G0436 is a valid 2022 HCPCS code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes or just " Tobacco-use counsel 3-10 min " for short, used in Medical care. 2022 .HCPCS code T1023: Z13.40, Z13.41, Z13.42, Z13.49 To update list of appropriate codes Mental health—Structured depression screening Added CPT code 96160 as an ... Behavior change intervention - smoking (tobacco) cessation .....51 Services available ...HCPCS code T1015 include, but are not limited to: • Dental services • Family planning services • Preventive medical exams ... Well-child visits • Wellness therapies (e.g., diabetes self-management therapy, medical-nutrition therapy, tobacco-cessation counseling) • Women, Infants, and Children (WIC) servicesAHA Coding Clinic ® for HCPCS - 2011 Issue 1; FOR your INFORMATION Tobacco Cessation Counseling. CMS has created new HCPCS C codes and G codes to report tobacco cessation counseling services for outpatient and hospitalized Medicare beneficiaries, such as those: 1) who use tobacco, regardless of whether they have signs or symptoms of tobacco-related disease;2) who are competent and alert at ...Coverage and Benefit Resources. HCPCS/CPT Codes. G0442 - Annual alcohol misuse screening, 15 minutes. G0443 - Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes. Frequency. G0442 - Annually. G0443 - For those who screen positive, four times per year. Coverage. Screening: All Medicare beneficiaries are eligible. Coverage and Benefit Resources. HCPCS/CPT Codes. G0442 - Annual alcohol misuse screening, 15 minutes. G0443 - Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes. Frequency. G0442 - Annually. G0443 - For those who screen positive, four times per year. Coverage. Screening: All Medicare beneficiaries are eligible. HIMT2400: MidTerm Exam Spring QUESTION 1 Smoking cessation gum. Assign HCPCS code(s). S4995 2 points QUESTION 2 Patient record documentation states "patient has a history of alcohol and drug use as a teenager and smokes one to two packs of cigarettes daily." This would be found under the heading _____. a. Past History b. History of Present Illness c. Social History d.HCPCS codes for tobacco cessation counseling for Asymptomatic individuals: (used in addition to E&M code) ... • Dr. M spends 10 minutes discussing smoking cessation with the patient • E&M: 99212 modifier 25 • HCPCS: G0436 • ICD-10: F17.200- nicotine dependence, unspecified, uncomplicated . QuitlineThis measure defines tobacco cessation counseling as lasting 3 minutes or less. Services typically provided under CPT codes 99406 and 99407 satisfy the requirement of tobacco cessation intervention, as these services provide tobacco cessation counseling for 3-10 minutes. If a patient received these types of services, submit G-code G9906.Counseling on importance of maintaining cigarette smoking abstinence if a former smoker; or importance of smoking cessation if current smoker and, if appropriate, furnishing of information about tobacco cessation interventions; ... HCPCS codes 90670 and 90732 (Pneumococcal Vaccines) will display up to 10 previous dates of service and with the ...There are two CPT® smoking cessation codes that replaced CMS's temporary HCPCS codes (99406--99407). These are time based codes. Accept All. Manually Manage Cookies ... G0436 is a valid 2022 HCPCS code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes or just ...HCPCS/ CPT Code Type of Counseling Description 99406 Intermediate Smoking and tobacco use cessation counseling visit is greater than three minutes, but not more than 10 minutes 99407 Intensive. 2022. ... >Smoking and tobacco use cessation counseling visit is greater than 10 minutes S9453 Smoking cessation classes Non-physician. Tuesday , June 7 ...For example, older documentation states that G0436 Smoking Cessation Counseling (3-10min) and G0437 Smoking Cessation Counseling (10-20min) is approved for coding with wellness visits; however, as of 2016, these codes have been replaced with 99406 (Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 ...HCPCS Code: S9453. HCPCS Code Short Name: Smoking cessation class. HCPCS Coverage Code: Not payable by Medicare Type of Service: Medicare will only reimburse for a specific set of CPT/HCPCS code. Each year, Medicare that are approved for reimbursement for CY 2016. Medicare will only reimburse for live video. ... Smoking cessation services HCPCS codes G0436 & G0437 & CPT codes 99406 & 99407 Alcohol and/or substance (other than tobacco) abuse structured ...CPT codes 97802 - 97804. Neuro. behavioral status examination; CPT code 96116 Smoking cessation services. HCPCS codes G0436 and G0437 and CPT codes 99406 and 99407. Alcohol . and/or; substance (other than tobacco) abuse structured . assessment and intervention services (effective for services furnished on or after January 1, 2013) HCPCS codes ...When billing for more than three minutes of smoking and tobacco cessation counseling, use the following HCPCS codes: G0375: Smoking and tobacco-use cessation counseling visit; intermediate ... Smoking cessation classes, non-physician provider, per session. Commercial Payers (Temporary Codes) S9453 is a valid 2022 HCPCS code for Smoking cessation classes, non-physician provider, per session or just “ Smoking cessation class ” for short, used in Other medical items or services . HCPCS CODES S9453 Smoking cessation classes, non-physician provider, per session ICD-10-CM CODES F17.200 Nicotine dependence, unspecified, ... Removed HCPCS codes S0106, S4990, S4991, S4995 Removed ICD-9 codes 305.1 & V15.82 Deleted effective 9/30/2016 codes G0436 & G0437S4995 Smoking cessation gum HCPCS Procedure & Supply Codes S4995 - Smoking cessation gum The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Access to this feature is available in the following products: Find-A-Code Essentials HCC PlusThe quality data codes listed do not need to be submitted by MIPS eligible clinicians, groups, or third party intermediaries that utilize this modality for submissions; however, these codes may be submitted for those third party intermediaries that utilize Medicare Part B claims data. ... (CPT or HCPCS): 90791, 90792, 90832, 90834, 90837, 90839 ...Feb 28, 2018 · Two different CPT time-based codes may be used to capture this service: 99406-Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes and up to 10 minutes; 99407-Smoking and tobacco use cessation counseling visit, intensive, greater than 10 minutes HCPCS code T1023: Z13.40, Z13.41, Z13.42, Z13.49 To update list of appropriate codes Mental health—Structured depression screening Added CPT code 96160 as an ... Behavior change intervention - smoking (tobacco) cessation .....51 Services available ...codes G0375 and G0376, which are currently used to bill for Smoking and Tobacco Use Cessation Counseling services, are effective only through December 31, 2007. • They are being replaced by two new Current Procedural Terminology (CPT) codes: • 99406 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes HCPCS Deleted Code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes G0436 Deleted code, effective Sep. 30, 2016 IPPE HCPCS Codes Billing Code Descriptors: G0402. Initial preventive physical examination; face-to-face visit, services limited ... - Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes . 99407 - Smoking and tobacco-use cessation counseling visit; intensive, greater ...G9016 is a valid 2022 HCPCS code for Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] or just " Demo-smoking cessation coun " for short, used in Medical care . Share this page HCPCS ModifiersProcedures/Professional Services (Temporary Codes ) G0436 is a valid 2022 HCPCS code for Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes or just " Tobacco-use counsel 3-10 min " for short, used in Medical care. . Jul 22, 2012 · 99407 – Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes -Avreage fee amount- $25 – $30. Note: HCPCS code G0436 and G0437 will be discontinued effective 10/1/2016. CPT codes. 99406 and 99407 are the remaining codes for tobacco cessation counseling. The beneficiary. The CPT codes are listed below for billing for smoking cessation : 99406 - Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 99407 - Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes A modifier 25 may be appropriate to append to the primary E/M visit.G9016 is a valid 2022 HCPCS code for Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] or just " Demo-smoking cessation coun " for short, used in Medical care . Share this page HCPCS ModifiersWhen billing for more than three minutes of smoking and tobacco cessation counseling, use the following HCPCS codes: G0375: Smoking and tobacco-use cessation counseling visit; intermediate ... HCPCS codes A9276 - A9278 will be set to noncovered and codes E2102 and A4238 will replace them as covered codes. Code A4238 includes all supplies and accessories, 1. Cpt code for smoking cessation counseling 2022Billing for hospitalists; smoking cessation documentation; patients' paperwork; group visit codes. By Bill Dacey. continued... The work RVU for 99213 in 2010 is .97. The work RVU for 99411 is .15 and for 99412 is .25. Even the one hour code is only a fourth of the 99213 rate. 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