Discover the New Features of Our Improved Provider Manual

GHI HMO Plans Now Underwritten By HIP

State Sponsored Programs Rebranded

Changes to Medicare PPO Prior Approval Rules for PT/OT/ST

Medicaid Redesign Team Updates

Claims Corner

Behind the Scenes

Case Management Programs

EmblemHealth Pharmaceutical Management Program

Changes to Provider Attestation Form Submission

High Risk Medications for Elderly Patients

Do You Make Snap Decisions?

Does Your Office Have a Flu Immunization Champion?

Serology Testing Inappropriate for Detection of Active H. pylori Infection

Correct Billing for Mammography Services

CPT Codes for Tobacco Cessation Counseling

Healthy Beginnings PATH

Clinical Corner

News&Notes Archive


Review your information now to ensure you are correctly listed in our EmblemHealth directories. If any of your information has changed or is inaccurate, just follow our simple instructions to update your profile online. Can't update your information online? Fax your changes to our Provider Modifications team at 1-877-889-9061.

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.


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