99407
Behav chng smoking > 10 min
Smoking and tobacco-use cessation counseling visit, intensive, greater than 10 minutes. Up to 8 sessions per 12-month period per Medicare beneficiary. The intensive counterpart to 99406 (3 to 10 minutes intermediate counseling).
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
Billing guidance for 99407 is locked
- When to use it: the exact clinical situations that support billing 99407
- Documentation checklist: the 7 elements your note needs before submitting
- Common pitfalls: the 6 mistakes that get 99407 downcoded or denied
Payer notes
Medicare covers up to 8 cessation-counseling sessions per 12-month period per beneficiary with no cost share when the diagnosis is tobacco dependence. Medicare Advantage typically follows. Commercial coverage varies: many cover unlimited sessions, some apply copay. Telehealth delivery accepted at POS 02 or POS 10 with modifier 95 on most plans. The 99407 wRVU is roughly twice 99406; longer counseling pays better.
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what 99407 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.