Professional 99406 medicare covered diagnosis

Oct 14, 2025 | Blog


The Current Procedural Terminology (CPT) code 99406 is primarily associated with smoking cessation counseling. This article seeks to provide insight into what this service entails, its coverage under Medicare, and the benefits it offers to patients.

What is CPT Code 99406?

The CPT code 99406 refers to a 15-30 minute smoking cessation counseling session provided by a healthcare professional. This service is designed to support individuals looking to quit smoking by offering guidance, resources, and strategies tailored to their needs.

Medicare Coverage

Medicare recognizes the importance of smoking cessation and offers coverage for counseling services like those described by CPT code 99406. Here are key points regarding coverage:

  • Eligible patients include those who smoke and are willing to quit.
  • Coverage applies to individual counseling sessions, and the service can be provided in various settings, including hospitals and outpatient centers.
  • Typically, patients can receive counseling sessions as part of a broader preventive health service, which may include additional sessions as deemed necessary.

Benefits of Smoking Cessation Counseling

Engaging in smoking cessation counseling offers numerous benefits, such as:

  • Health Improvement: Reducing the risk of chronic diseases associated with smoking.
  • Enhanced Quality of Life: Improvements in physical health can lead to increased well-being.
  • Financial Savings: Decreasing tobacco use leads to significant savings on healthcare costs.

Conclusion

CPT code 99406 is a vital part of Medicare’s efforts to promote preventive health measures, particularly in smoking cessation. By understanding the coverage and benefits associated with this service, patients can take proactive steps towards a healthier, smoke-free life.

If you are a Medicare recipient and interested in quitting smoking, consider discussing this option with your healthcare provider to explore the available resources and support.

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