Counseling to Prevent Tobacco Use
Medicare covers counseling to prevent tobacco use for outpatient and hospitalized Medicare beneficiaries for whom all of the following are true:
- Use tobacco, regardless of whether they exhibit signs or symptoms of tobacco-related disease
- Competent and alert at the time of counseling
- Counseling furnished by a qualified physician or other Medicare-recognized practitioner
HCPCS/CPT Codes
- 99406 - Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes
- 99407 - Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes
Frequency
- 2 cessation attempts per year, each attempt may include a maximum of 4 intermediate or intensive sessions
- Total annual benefit covering up to 8 sessions per year
Deductible and coinsurance are waived for this service.
Reference