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(2) NAI induced a transient reduction in mean and diastolic blood flow and in amplitude of pulse flow, as well as irregular fluctuations in diastolic and pulse flow of the uterine artery

The use of tobacco products such as cigarettes, cigars, cigarillos, smokeless tobacco or e-cigarettes and other inhalants designed for human consumption is prohibited, except in designated areas

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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