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Smoking Cessation Counseling Codes 99406 and 99407 The CPT codes are listed below for billing for smoking cessation: 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes.
Ask and Act, the AAFPs tobacco cessation program, encourages you to Ask all patients about tobacco use and Act to help them quit. With a grant from the CVS Health Foundation, the Academy has developed free tobacco cessation resources for members, including a number of tools that focus on e-cigarettes.
Physicians and qualified nonphysician practitioners can bill Medicare for smoking and tobacco-use cessation counseling. How often can these codes be used? Medicare Part B covers two smoking cessation attempts each year. Each attempt may include a maximum of four intermediate or intensive sessions.
Medicare reimbursement for 99407, smoking cessation for longer than 10 minutes of counseling is $28.96.
Billing, coding and documentation guidance As mentioned previously, Medicare Part B covers two levels of tobacco cessation counseling for beneficiaries: intermediate (99406) and intensive (99407).
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Reimbursement for Smoking Cessation If you are already counseling for smoking cessation in your practice, you are doing the work, so get paid for it. Medicare reimbursement for 99407, smoking cessation for longer than 10 minutes of counseling is $27.93. The 10 minute or longer consult may not apply to everyone.
The 3-to-10-minute counseling code, 99406, reimburses at an average of $14.32. These are national reimbursement amounts, but we advise that you also check your local Medicare fee schedule, as payments may vary.
CMS will cover two individual tobacco cessation counseling attempts per year. Each attempt may include a maximum of four intermediate or intensive sessions, with the total annual benefit thus covering up to eight sessions per Medicare beneficiary who uses tobacco.

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