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CPT Codes for Tobacco Cessation Counseling
EmblemHealth partners with the New York State Smokers' Quitline to provide comprehensive tobacco cessation services to our members. When you identify patients ready to quit smoking, you can refer them to the Quitline at 1-866-NY-QUITS(1-866-697-8487).
US Public Health Service clinical practice guidelines recommend that practitioners cover the Five A's during all patient visits. We encourage you to incorporate them into your practice:
Ask all of your patients if they smoke.
Advise every smoker to quit smoking.
Assess their readiness to quit.
Assist with a plan for quitting.
Arrange for follow-up.
Studies show that a follow-up visit or phone call within one week of the patientís quit date can double the effectiveness of any intervention. We provide reimbursement for tobacco cessation counseling based on current Centers for Medicare & Medicaid Services (CMS) guidelines. Please use the following CPT codes for these office visits:
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.