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CPT 99407

CPT Code 99407: Smoking and tobacco use counseling, greater than 10 min

Duration
10+ min
Typical Fee
$25-$55
Type
Outpatient therapy

When to Use CPT 99407

Use CPT code 99407 when billing for smoking and tobacco use counseling, greater than 10 min. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 99407 to a Superbill

When generating a superbill with CPT 99407, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.

Common ICD-10 Pairings

These diagnosis codes are frequently used alongside CPT 99407:

Documentation Requirements

Document more than 10 minutes of dedicated tobacco cessation counseling. Include motivational interviewing techniques and quit plan discussed.

Common Denial Reasons

  • Counseling time does not exceed 10 minutes
  • Missing tobacco-related diagnosis code
  • Billed on the same date as 99406 — only one level per encounter

Reimbursement Expectations

OON reimbursement typically $13-$33. May be covered at 100% as a preventive service by some plans.

Related Guides

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