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Smoking cessation coding, 99406 and 99407

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Medicare and most private insurers pay for physicians, NPs and PAs to counsel patients regarding smoking cessation.

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.

Code Description 2023 wRVU Total National non-facility RVUs Total National facility RVUs
99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 0.24 0.44 0.35
99407      greater than 10 minutes 0.50 0.82 0.74

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