Smoking Cessation Counselling

Smoking Cessation

The following codes are used to report the preventive medicine evaluation and management of infants, children, adolescents, and adults.

Modifier 25 should be added to the office/outpatient code to indicate that a significant, separately identifiable evaluation and management service was provided on the same day as the preventive medicine service. The appropriate preventive medicine service is additionally reported.

• 99406 – Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 
• 99407 – Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes 

Required Documentation

• Patient Current smoking details 
• Time 
• Counseling Content 

Covered ICD Codes 

• F17.210 - Nicotine dependence, cigarettes, uncomplicated

• F17.211 - Nicotine dependence, cigarettes, in remission

• F17.213 - Nicotine dependence, cigarettes, with withdrawal

• F17.218 - Nicotine dependence, cigarettes, with other nicotine-induced disorders

• F17.219 - Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders

• F17.220 - Nicotine dependence, chewing tobacco, uncomplicated

• F17.221 - Nicotine dependence, chewing tobacco, in remission

• F17.223 - Nicotine dependence, chewing tobacco, with withdrawal

• F17.228 - Nicotine dependence, chewing tobacco, with other nicotine-induced disorders

• F17.229 - Nicotine dependence, chewing tobacco, with unspecified nicotine-induced disorders

• F17.290 - Nicotine dependence, other tobacco product, uncomplicated

• F17.291 - Nicotine dependence, other tobacco product, in remission

• F17.293 - Nicotine dependence, other tobacco product, with withdrawal

• F17.298 - Nicotine dependence, other tobacco product, with other nicotine-induced disorders

• F17.299 - Nicotine dependence, other tobacco product, with unspecified nicotine-induced disorders

Clinical Example

The patient confirms the use of tobacco products (specify the product). Smoking 4 cigarettes per day.  

Spent 10 minutes for counseling and patient education about the dangers of smoking, health risk, and education hand out given to the patients for awareness. 

Discussed in detail complications with treatment plan due to continued use of tobacco products. The patient listen carefully and accepted to stop smoking