Coding and Billing

As of January 1, 2014, Vermont Medicaid covers face-to-face counseling for smoking cessation for eligible beneficiaries who use tobacco. This coverage applies when furnished by (or under the direction of) a physician or by any other health care professional who is legally authorized to furnish such services under state law and licensure.

Codes with Definitions

Use the following medical codes to capture and bill smoking and tobacco cessation counseling.

99406
Smoking and tobacco use cessation counseling visit; immediate greater than 3 minutes up to 10 minutes

99407
Smoking and tobacco use cessation counseling visit, intensive greater than 10 minutes

99407HQ
Smoking and tobacco use cessation counseling visit, intensive greater than 10 minutes, Group Session

D1320
Smoking and tobacco use cessation counseling visit, for the control and prevention of oral disease

Asthma- and Tobacco-Related Billing and Reimbursement Recommendations (PDF)