Medicare Claims Processing Manual (Pub. 100-04), Ch. 32 § 12
Counseling to Prevent Tobacco Use
12 - Counseling to Prevent Tobacco Use
(Rev.3848, Issued: 08- 25-17, Effective: 09-26-17, Implementation: 09- 26-17)
Background: Effective for services furnished on or after March 22, 2005, a National Coverage Determination (NCD)
provided for coverage of smoking and tobacco-use cessation counseling services located at Medicare National
Coverage Determinations Manual, Publication 100-03 section 210.4. CMS established a related policy entitled
Counseling to Prevent Tobaccos Use at NCD Manual 210.4.1 effective August 25, 2010. However, effective
September 30, 2016, the conditions of Medicare Part A and Medicare Part B coverage for smoking and tobacco-use
cessation counseling services (210.4) were deleted. The remaining NCD entitled Counseling to Prevent Tobacco Use
(210.4.1), remains in effect, along with HCPCS codes 99406 and 99407, specifically payable for counseling to
prevent tobacco use effective October 1, 2016.