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US · guidance

CMS Pub. 100-04, ch. 32, § 12

Counseling to Prevent Tobacco Use

activein force · 2026-08-25 – presentas-observed

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.

History

(Rev.3848, Issued: 08- 25-17, Effective: 09-26-17, Implementation: 09- 26-17)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
b72d891f13136d8f087dfc503954269046c0444c7261f6085dc2aae8402cf8b3
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