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See RCW 9.41.113, approved by the Washington legislature on November 4, 2014

How OptiMantra Supports Smoking Cessation Counseling Documentation and Billing OptiMantras integrated EMR and practice management system simplifies documentation and billing for CPT 99406: With OptiMantra, providers can: Document counseling duration and tobacco use status in structured templates Record cessation strategies, patient readiness, and follow-up plans Link counseling services to relevant diagnoses and E/M visits Support appropriate modifier usage (such as -25) within billing workflows Support accurate CPT and ICD-10 code selection for compliant preventive counseling billing By centralizing counseling documentation and billing, OptiMantra helps practices improve efficiency, maintain compliance, and optimize reimbursement

Breast Cancer There are several other factors like obesity, genetics, and age that increase the risk of breast cancer more than smoking does