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Documentation Requirements Comprehensive documentation is required to support billing of 99407, including: Duration of counseling (must exceed 10 minutes) Topics discussed (e.g., health risks, cessation strategies, pharmacotherapy options) Patients tobacco use history and readiness to quit Interventions or resources provided (e.g., nicotine replacement therapy, support referrals) Provider credentials, signature, and date of service Document the total time spent and ensure the note clearly differentiates the counseling from any other E/M service performed the same day

these are shown in Supplementary Table 1

Streem, who counts every attempt as progress

Being divorced, separated, widowed, single, never-married or not living with a partner was also associated with higher use