Counseling to Prevent Tobacco Use

HCPCS/CPT Codes

  • 99406 - Smoking and tobacco-use cessation counseling visit; intermediate, greater than three minutes up to 10 minutes
  • 99407 - Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes

Frequency

Two cessation attempts per year

Each attempt may include four intermediate or intensive sessions, with the total covering up to eight sessions per year

Diagnosis Codes

  • F17.210 - Nicotine dependence, cigarettes, uncomplicated
  • F17.211 - Nicotine dependence, cigarettes, in remission
  • F17.213 - Nicotine dependence, cigarettes, with withdrawal
  • F17.218 - Nicotine dependence, cigarettes, with other nicotine-induced disorders
  • F17.219 - Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders
  • F17.220 - Nicotine dependence, chewing tobacco, uncomplicated
  • F17.221 - Nicotine dependence, chewing tobacco, in remission
  • F17.223 - Nicotine dependence, chewing tobacco, with withdrawal
  • F17.228 - Nicotine dependence, chewing tobacco, with other nicotine-induced disorders
  • F17.229 - Nicotine dependence, chewing tobacco, with unspecified nicotine-induced disorders
  • F17.290 - Nicotine dependence, other tobacco product, uncomplicated
  • F17.291 - Nicotine dependence, other tobacco product, in remission
  • F17.293 - Nicotine dependence, other tobacco product, with withdrawal
  • F17.298 - Nicotine dependence, other tobacco product, with other nicotine-induced disorders
  • F17.299 - Nicotine dependence, other tobacco product, with unspecified nicotine-induced disorders
  • T65.211A - Toxic effect of chewing tobacco, accidental (unintentional), initial encounter
  • T65.212A - Toxic effect of chewing tobacco, intentional self-harm, initial encounter
  • T65.213A - Toxic effect of chewing tobacco, assault, initial encounter
  • T65.214A - Toxic effect of chewing tobacco, undetermined, initial encounter
  • T65.221A - Toxic effect of tobacco cigarettes, accidental (unintentional), initial encounter
  • T65.222A - Toxic effect of tobacco cigarettes, intentional self-harm, initial encounter
  • T65.223A - Toxic effect of tobacco cigarettes, assault, initial encounter
  • T65.224A - Toxic effect of tobacco cigarettes, undetermined, initial encounter
  • T65.291A - Toxic effect of other tobacco and nicotine, accidental (unintentional), initial encounter
  • T65.292A - Toxic effect of other tobacco and nicotine, intentional self-harm, initial encounter
  • T65.293A - Toxic effect of other tobacco and nicotine, assault, initial encounter
  • T65.294A - Toxic effect of other tobacco and nicotine, undetermined, initial encounter; or
  • Z87.891 - Personal history of nicotine dependence, unspecified, uncomplicated

Coverage

Outpatient and hospitalized beneficiaries who meet all of the following:

  • Use tobacco
  • Competent and alert at time of counseling
  • Counseling furnished by qualified physician or other Medicare-recognized practitioner

Payment

Copayment/coinsurance waived; Deductible waived

Noridian Medicare Portal

No

Resources

Last Updated $dateUtil.getDate( $modifieddate , "MMM dd , yyyy" , $locale , $tzone )