Screening / Counsel · CMS status A
99407
Behav chng smoking > 10 min
Smoking and tobacco-use cessation counseling visit, intensive, greater than 10 minutes. CMS 2026 wRVU 0.50. Up to 8 sessions per 12-month period per Medicare beneficiary. The intensive counterpart to 99406 (3 to 10 minutes intermediate counseling).
Work RVU
0.50
2026 Medicare pays
$29.06
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.50 + Practice 0.33 + Malpractice 0.04 = 0.87 total
Work (your effort)Practice expenseMalpractice
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
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Common ICD-10 pairings
F17.210F17.290
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.
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.