# CPT 99407: Smoking and tobacco use cessation counseling, greater than 10 minutes

Medicare CPT 99407 pays $29.06 in a non-facility setting and $22.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $26.86 in Arkansas to $37.53 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/99407-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $29.06 |
| National facility | $22.04 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $37.53 | $30.06 |
| District of Columbia | $32.07 | $23.81 |
| New York | $31.61 | $23.78 |
| New Jersey | $31.42 | $23.52 |
| California | $31.07 | $22.76 |
| Washington | $30.85 | $22.85 |
| Massachusetts | $30.69 | $22.81 |
| Connecticut | $30.52 | $22.97 |
| Florida | $30.36 | $23.32 |
| Hawaii | $30.01 | $22.03 |
| Illinois | $29.96 | $23.19 |
| Maryland | $29.85 | $22.54 |
| Colorado | $29.67 | $22.21 |
| Rhode Island | $29.60 | $22.35 |
| Oregon | $29.42 | $22.02 |
| New Hampshire | $29.34 | $22.04 |
| Puerto Rico | $29.16 | $22.07 |
| Virgin Islands | $29.16 | $22.07 |
| Pennsylvania | $29.08 | $22.21 |
| Montana | $29.06 | $22.04 |
| Michigan | $28.93 | $22.35 |
| Texas | $28.89 | $21.98 |
| Delaware | $28.88 | $21.95 |
| Nevada | $28.85 | $21.83 |
| Georgia | $28.84 | $22.15 |
| Wyoming | $28.71 | $21.70 |
| Arizona | $28.52 | $21.73 |
| Virginia | $28.48 | $21.58 |
| Minnesota | $28.44 | $21.22 |
| New Mexico | $28.41 | $21.98 |
| Vermont | $28.29 | $21.34 |
| North Dakota | $28.27 | $21.25 |
| Utah | $28.26 | $21.67 |
| West Virginia | $28.19 | $22.10 |
| Louisiana | $28.17 | $21.76 |
| South Dakota | $28.17 | $21.16 |
| Missouri | $28.13 | $21.69 |
| Ohio | $28.11 | $21.71 |
| Maine | $28.07 | $21.37 |
| South Carolina | $28.02 | $21.54 |
| North Carolina | $27.84 | $21.29 |
| Kentucky | $27.72 | $21.49 |
| Wisconsin | $27.67 | $20.95 |
| Oklahoma | $27.58 | $21.32 |
| Indiana | $27.57 | $21.07 |
| Idaho | $27.47 | $21.02 |
| Tennessee | $27.44 | $21.06 |
| Nebraska | $27.38 | $20.90 |
| Kansas | $27.34 | $21.00 |
| Iowa | $27.32 | $20.90 |
| Mississippi | $27.18 | $21.14 |
| Alabama | $27.10 | $20.96 |
| Arkansas | $26.86 | $20.83 |

## Related codes

- 99401: Preventive medicine counseling, individual, approximately 15 minutes — https://www.med-reveal.com/rates/99401-cpt-fee-schedule
- 99402: Preventive medicine counseling, individual, approximately 30 minutes — https://www.med-reveal.com/rates/99402-cpt-fee-schedule
- 99403: Preventive medicine counseling, individual, approximately 45 minutes — https://www.med-reveal.com/rates/99403-cpt-fee-schedule
- 99404: Preventive medicine counseling, individual, approximately 60 minutes — https://www.med-reveal.com/rates/99404-cpt-fee-schedule
- 99406: Smoking and tobacco use cessation counseling, 3-10 minutes — https://www.med-reveal.com/rates/99406-cpt-fee-schedule
- 99408: Alcohol and/or substance abuse structured screening and brief intervention, 15-30 minutes — https://www.med-reveal.com/rates/99408-cpt-fee-schedule
- 99409: Alcohol and/or substance abuse structured screening and brief intervention, greater than 30 minutes — https://www.med-reveal.com/rates/99409-cpt-fee-schedule
- 99411: Preventive medicine counseling, group, approximately 30 minutes — https://www.med-reveal.com/rates/99411-cpt-fee-schedule

Commercial negotiated rates for 99407 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules