Medicare and most private insurers pay for physicians, NPs and PAs to counsel patients about stopping tobacco use.
Medicare waives the co-payment/co-insurance and deductible for this service. Private insurers can set their own policies and payments.
CPT® codes for Smoking Cessation
There are two codes used to report counseling by a physician or non-physician practitioner (NPP) with the patient 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
99407 is not an add-on code, and the two codes are never reported together. Report only one of the codes, depending on the time of the counseling.
|National facility payment|
|99406||Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes||0.24||$15.52||$12.63|
|99407||greater than 10 minutes||0.50||$29.59||$26.71|
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