CPT code 99406: Smoking cessation, more than 3 through 10 minutes2026 Medicare rate & RVUs in King County, WA
Report 99406 for an individual smoking or tobacco-use cessation counseling service lasting more than 3 minutes and no more than 10 minutes.
In King County, WA, Medicare pays $17.16 for 99406 in the office and $11.42 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 99406 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 99406 covers
This code describes individual counseling aimed at helping a patient stop smoking or using tobacco. A physician or other qualified health professional may discuss the health effects of tobacco, the patient’s readiness to quit, triggers and barriers, and practical steps such as setting a quit date or considering support options. The service may occur during an office or outpatient visit when the patient’s tobacco use is addressed as a distinct counseling service.
Select 99406 when the documented counseling time is more than 3 minutes and no more than 10 minutes; longer counseling falls into the next time tier. Record the tobacco-use discussion, counseling provided, time, and the patient’s response or cessation plan. CMS values the service through physician work, practice expense, and malpractice inputs; its practice-expense valuation differs between office and facility settings.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How King County, WA compares for 99406
Across 109 of 109 payment localities, the office rate for 99406 runs from $14.10 in Arkansas to $19.51 in Alaska. King County, WA pays $17.16. The RVUs are the same everywhere; the geographic indexes change the dollars.
- King County, WA · this page$17.16
- Rest of Washington · Washington$15.66−$1.50
- Los Angeles, CA · California$16.69−$0.47
- Washington, DC area · District of Columbia$17.06−$0.10
- Miami, FL · Florida$16.66−$0.50
- Chicago, IL · Illinois$16.32−$0.84
- Manhattan, NY · New York$17.35+$0.19
Other areas in Washington first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $19.51 | $14.53 |
| AlabamaAlabama | $14.24 | $10.15 |
| ArkansasArkansas | $14.10 | $10.08 |
| ArizonaArizona | $15.06 | $10.53 |
| Bakersfield, CACalifornia | $15.90 | $10.77 |
| Chico, CACalifornia | $15.83 | $10.71 |
| El Centro, CACalifornia | $15.84 | $10.71 |
| Fresno, CACalifornia | $15.83 | $10.71 |
| Hanford, CACalifornia | $15.83 | $10.71 |
| Madera, CACalifornia | $15.83 | $10.71 |
| Merced, CACalifornia | $15.83 | $10.71 |
| Modesto, CACalifornia | $15.83 | $10.71 |
| Napa, CACalifornia | $17.67 | $11.50 |
| Oxnard, CACalifornia | $16.55 | $11.03 |
| Redding, CACalifornia | $15.83 | $10.71 |
| Rest of CaliforniaCalifornia | $15.83 | $10.71 |
| Riverside, CACalifornia | $16.05 | $10.93 |
| Sacramento, CACalifornia | $16.43 | $10.99 |
| Salinas, CACalifornia | $16.37 | $10.95 |
| San Diego, CACalifornia | $16.61 | $11.02 |
| Marin County, CACalifornia | $18.50 | $11.91 |
| San Francisco, CACalifornia | $18.48 | $11.89 |
| San Benito County, CACalifornia | $18.89 | $12.15 |
| Santa Clara County, CACalifornia | $18.80 | $12.05 |
| San Luis Obispo, CACalifornia | $16.12 | $10.79 |
| Santa Cruz, CACalifornia | $16.66 | $10.98 |
| Santa Maria, CACalifornia | $16.39 | $10.94 |
| Santa Rosa, CACalifornia | $16.82 | $11.08 |
| Stockton, CACalifornia | $15.83 | $10.71 |
| Vallejo, CACalifornia | $17.63 | $11.47 |
| Visalia, CACalifornia | $15.83 | $10.71 |
| Yuba City, CACalifornia | $15.83 | $10.71 |
| ColoradoColorado | $15.74 | $10.77 |
| ConnecticutConnecticut | $16.18 | $11.14 |
| DelawareDelaware | $15.26 | $10.64 |
| Fort Lauderdale, FLFlorida | $15.99 | $11.25 |
| Rest of FloridaFlorida | $15.41 | $10.94 |
| Atlanta, GAGeorgia | $15.63 | $10.88 |
| Rest of GeorgiaGeorgia | $14.77 | $10.60 |
| Hawaii, Guam, HIHawaii | $16.00 | $10.68 |
| IowaIowa | $14.39 | $10.12 |
| IdahoIdaho | $14.48 | $10.18 |
| East St. Louis, ILIllinois | $15.51 | $11.21 |
| Rest of IllinoisIllinois | $15.16 | $10.89 |
| Suburban Chicago, ILIllinois | $16.12 | $11.31 |
| IndianaIndiana | $14.53 | $10.20 |
| KansasKansas | $14.39 | $10.16 |
| KentuckyKentucky | $14.57 | $10.41 |
| New Orleans, LALouisiana | $15.06 | $10.66 |
| Rest of LouisianaLouisiana | $14.57 | $10.43 |
| Metropolitan Boston, MAMassachusetts | $16.92 | $11.33 |
| Rest of MassachusettsMassachusetts | $15.71 | $10.79 |
| Baltimore area, MDMaryland | $16.14 | $11.12 |
| Rest of MarylandMaryland | $15.47 | $10.74 |
| Rest of MaineMaine | $14.58 | $10.28 |
| Southern Maine, MEMaine | $15.06 | $10.42 |
| Detroit, MIMichigan | $15.59 | $11.08 |
| Rest of MichiganMichigan | $14.87 | $10.60 |
| MinnesotaMinnesota | $15.09 | $10.28 |
| Metropolitan Kansas City, MOMissouri | $14.94 | $10.55 |
| Metropolitan St. Louis, MOMissouri | $15.05 | $10.59 |
| Rest of MissouriMissouri | $14.43 | $10.39 |
| MississippiMississippi | $14.26 | $10.24 |
| MontanaMontana | $15.36 | $10.69 |
| North CarolinaNorth Carolina | $14.68 | $10.31 |
| North DakotaNorth Dakota | $14.97 | $10.29 |
| NebraskaNebraska | $14.43 | $10.12 |
| New HampshireNew Hampshire | $15.55 | $10.69 |
| Northern New JerseyNew Jersey | $16.98 | $11.56 |
| Rest of New JerseyNew Jersey | $16.36 | $11.26 |
| New MexicoNew Mexico | $14.94 | $10.66 |
| NevadaNevada | $15.26 | $10.58 |
| NYC suburbs and Long Island, NYNew York | $17.71 | $12.15 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $16.50 | $11.38 |
| Queens, NYNew York | $17.39 | $11.86 |
| Rest of New YorkNew York | $14.83 | $10.39 |
| OhioOhio | $14.79 | $10.52 |
| OklahomaOklahoma | $14.50 | $10.32 |
| Portland, OROregon | $16.06 | $10.87 |
| Rest of OregonOregon | $15.14 | $10.48 |
| Metropolitan Philadelphia, PAPennsylvania | $15.91 | $11.04 |
| Rest of PennsylvaniaPennsylvania | $14.78 | $10.49 |
| Puerto RicoPuerto Rico | $15.43 | $10.70 |
| Rhode IslandRhode Island | $15.67 | $10.83 |
| South CarolinaSouth Carolina | $14.76 | $10.44 |
| South DakotaSouth Dakota | $14.92 | $10.24 |
| TennesseeTennessee | $14.45 | $10.20 |
| Austin, TXTexas | $15.69 | $10.74 |
| Beaumont, TXTexas | $14.72 | $10.46 |
| Brazoria, TXTexas | $15.22 | $10.59 |
| Dallas, TXTexas | $15.31 | $10.66 |
| Fort Worth, TXTexas | $15.26 | $10.65 |
| Galveston, TXTexas | $15.27 | $10.62 |
| Houston, TXTexas | $15.63 | $10.99 |
| Rest of TexasTexas | $14.96 | $10.52 |
| UtahUtah | $14.90 | $10.50 |
| VirginiaVirginia | $15.05 | $10.46 |
| Virgin Islands, VIUnited States Virgin Islands | $15.43 | $10.70 |
| VermontVermont | $14.97 | $10.34 |
| WisconsinWisconsin | $14.62 | $10.14 |
| West VirginiaWest Virginia | $14.78 | $10.71 |
| WyomingWyoming | $15.19 | $10.51 |
99406 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$14.10
$19.51
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $19.51 | 1 |
| AL | $14.24 | 1 |
| AR | $14.10 | 1 |
| AZ | $15.06 | 1 |
| CA | $15.83–$18.89 | 29 |
| CO | $15.74 | 1 |
| CT | $16.18 | 1 |
| DC | $17.06 | 1 |
| DE | $15.26 | 1 |
| FL | $15.41–$16.66 | 3 |
| GA | $14.77–$15.63 | 2 |
| GU | $16.00 | 1 |
| HI | $16.00 | 1 |
| IA | $14.39 | 1 |
| ID | $14.48 | 1 |
| IL | $15.16–$16.32 | 4 |
| IN | $14.53 | 1 |
| KS | $14.39 | 1 |
| KY | $14.57 | 1 |
| LA | $14.57–$15.06 | 2 |
| MA | $15.71–$16.92 | 2 |
| MD | $15.47–$17.06 | 3 |
| ME | $14.58–$15.06 | 2 |
| MI | $14.87–$15.59 | 2 |
| MN | $15.09 | 1 |
| MO | $14.43–$15.05 | 3 |
| MS | $14.26 | 1 |
| MT | $15.36 | 1 |
| NC | $14.68 | 1 |
| ND | $14.97 | 1 |
| NE | $14.43 | 1 |
| NH | $15.55 | 1 |
| NJ | $16.36–$16.98 | 2 |
| NM | $14.94 | 1 |
| NV | $15.26 | 1 |
| NY | $14.83–$17.71 | 5 |
| OH | $14.79 | 1 |
| OK | $14.50 | 1 |
| OR | $15.14–$16.06 | 2 |
| PA | $14.78–$15.91 | 2 |
| PR | $15.43 | 1 |
| RI | $15.67 | 1 |
| SC | $14.76 | 1 |
| SD | $14.92 | 1 |
| TN | $14.45 | 1 |
| TX | $14.72–$15.69 | 8 |
| UT | $14.90 | 1 |
| VA | $15.05–$17.06 | 2 |
| VI | $15.43 | 1 |
| VT | $14.97 | 1 |
| WA | $15.66–$17.16 | 2 |
| WI | $14.62 | 1 |
| WV | $14.78 | 1 |
| WY | $15.19 | 1 |
How the 99406 rate is calculated
Each of 99406’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 99406
RVUs × geographic indexes × conversion factor
Work0.24
0.24 RVUs× 1.000 GPCI
Practice expense0.20
0.20 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.4600
Conversion factor
$33.4009
Medicare rate
$15.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact King County, WA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,092
- Code
- 99406
- Physician work
- 0.24
- Practice expense
- 0.20
- Malpractice
- 0.02
GPCI2026.csv
108
- Locality
- King County, WA
- Physician work
- 1.050
- Practice expense
- 1.227
- Malpractice
- 0.817
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.24 | × 1.050 | 0.2520 |
| Practice expense | 0.20 | × 1.227 | 0.2454 |
| Malpractice | 0.02 | × 0.817 | 0.0163 |
| Total RVUs | 0.5137 | ||
| Conversion factor | × 33.4009 | ||
Office rate, King County, WA$17.16
Office: (0.24 × 1.05 + 0.2 × 1.227 + 0.02 × 0.817) × $33.4009 = $17.16
Facility: (0.24 × 1.05 + 0.06 × 1.227 + 0.02 × 0.817) × $33.4009 = $11.42
Payment rules and modifiers for 99406
99406 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 99406
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$15.36
- Non-facility (office)
- $15.36
- Facility
- $10.69
Higher because the practice carries its own overhead.
How 99406 has changed in King County, WA
99406 · Office / nonfacility
$17.16
Effective 2026-10-01
The base rate is $1.80 higher than on 2025-10-01, moving from $15.36 to $17.16 (11.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$15.36changed to$17.16
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.17 changed to 0.20
- Work GPCI 1.043 changed to 1.050
- Practice expense GPCI 1.220 changed to 1.227
- Malpractice GPCI 0.853 changed to 0.817
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$16.21changed to$15.36
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.18 changed to 0.17
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$15.95changed to$16.21
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$16.36changed to$15.95
- Conversion factor 33.8872 changed to 32.7442
- Work GPCI 1.039 changed to 1.043
- Practice expense GPCI 1.207 changed to 1.220
- Malpractice GPCI 0.815 changed to 0.853
January 1, 2023
RVU23A
$16.99changed to$16.36
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.19 changed to 0.18
- Work GPCI 1.036 changed to 1.039
- Practice expense GPCI 1.194 changed to 1.207
- Malpractice GPCI 0.776 changed to 0.815
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$17.13changed to$16.99
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$16.72changed to$17.13
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.17 changed to 0.19
- Work GPCI 1.031 changed to 1.036
- Practice expense GPCI 1.170 changed to 1.194
- Malpractice GPCI 0.854 changed to 0.776
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$16.16changed to$16.72
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.16 changed to 0.17
- Work GPCI 1.027 changed to 1.031
- Practice expense GPCI 1.146 changed to 1.170
- Malpractice GPCI 0.931 changed to 0.854
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$15.73changed to$16.16
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.15 changed to 0.16
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$15.55changed to$15.73
- Conversion factor 35.8887 changed to 35.9996
- Work GPCI 1.026 changed to 1.027
- Practice expense GPCI 1.151 changed to 1.146
- Malpractice GPCI 0.713 changed to 0.931
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$14.95changed to$15.55
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.14 changed to 0.15
- Work GPCI 1.025 changed to 1.026
- Practice expense GPCI 1.155 changed to 1.151
- Malpractice GPCI 0.495 changed to 0.713
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$15.01changed to$14.95
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$14.93changed to$15.01
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$14.83changed to$14.93
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.01 changed to 0.02
- Practice expense GPCI 1.150 changed to 1.155
- Malpractice GPCI 0.688 changed to 0.495
Held through RVU15B.
January 1, 2014
RVU14A
$14.90changed to$14.83
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.16 changed to 0.14
- Practice expense GPCI 1.144 changed to 1.150
- Malpractice GPCI 0.881 changed to 0.688
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $14.90
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $17.16 | $11.42 | RVU26D |
| 2026-07-01 | $17.16 | $11.42 | RVU26C |
| 2026-04-01 | $17.16 | $11.42 | RVU26B |
| 2026-01-01 | $17.16 | $11.42 | RVU26A |
| 2025-10-01 | $15.36 | $12.20 | RVU25D |
| 2025-07-01 | $15.36 | $12.20 | RVU25C |
| 2025-04-01 | $15.36 | $12.20 | RVU25B |
| 2025-01-01 | $15.36 | $12.20 | RVU25A |
| 2024-10-01 | $16.21 | $12.56 | RVU24D |
| 2024-07-01 | $16.21 | $12.56 | RVU24C |
| 2024-04-01 | $16.21 | $12.56 | RVU24B |
| 2024-03-09 | $16.21 | $12.56 | RVU24AR |
| 2024-01-01 | $15.95 | $12.35 | RVU24A |
| 2023-10-01 | $16.36 | $12.68 | RVU23D |
| 2023-07-01 | $16.36 | $12.68 | RVU23C |
| 2023-04-01 | $16.36 | $12.68 | RVU23B |
| 2023-01-01 | $16.36 | $12.68 | RVU23A |
| 2022-10-01 | $16.99 | $12.86 | RVU22D |
| 2022-07-01 | $16.99 | $12.86 | RVU22C |
| 2022-04-01 | $16.99 | $12.86 | RVU22B |
| 2022-01-01 | $16.99 | $12.86 | RVU22A |
| 2021-10-01 | $17.13 | $13.38 | RVU21D |
| 2021-07-01 | $17.13 | $13.38 | RVU21C |
| 2021-04-01 | $17.13 | $13.38 | RVU21B |
| 2021-01-01 | $17.13 | $13.38 | RVU21A |
| 2020-10-01 | $16.72 | $13.35 | RVU20D |
| 2020-07-01 | $16.72 | $13.35 | RVU20C |
| 2020-04-01 | $16.72 | $13.35 | RVU20B |
| 2020-01-01 | $16.72 | $13.35 | RVU20A |
| 2019-10-01 | $16.16 | $13.27 | RVU19D |
| 2019-07-01 | $16.16 | $13.27 | RVU19C |
| 2019-04-01 | $16.16 | $13.27 | RVU19B |
| 2019-01-01 | $16.16 | $13.27 | RVU19A |
| 2018-10-01 | $15.73 | $13.26 | RVU18D |
| 2018-07-01 | $15.73 | $13.26 | RVU18C |
| 2018-04-01 | $15.73 | $13.26 | RVU18B |
| 2018-01-01 | $15.73 | $13.26 | RVU18AR1 |
| 2017-10-01 | $15.55 | $13.07 | RVU17D |
| 2017-07-01 | $15.55 | $13.07 | RVU17C |
| 2017-04-01 | $15.55 | $13.07 | RVU17B |
| 2017-01-01 | $15.55 | $13.07 | RVU17A |
| 2016-10-01 | $14.95 | $12.88 | RVU16D |
| 2016-07-01 | $14.95 | $12.88 | RVU16C |
| 2016-04-01 | $14.95 | $12.88 | RVU16B |
| 2016-01-01 | $14.95 | $12.88 | RVU16A |
| 2015-10-01 | $15.01 | $12.93 | RVU15D |
| 2015-07-01 | $15.01 | $12.93 | RVU15C |
| 2015-04-01 | $14.93 | $12.87 | RVU15B |
| 2015-01-01 | $14.93 | $12.87 | RVU15A |
| 2014-10-01 | $14.83 | $12.77 | RVU14D |
| 2014-07-01 | $14.83 | $12.77 | RVU14C |
| 2014-04-01 | $14.83 | $12.77 | RVU14B |
| 2014-01-01 | $14.83 | $12.77 | RVU14A |
| 2013-10-01 | $14.90 | $12.56 | RVU13D |
| 2013-07-01 | $14.90 | $12.56 | RVU13C |
| 2013-04-01 | $14.90 | $12.56 | RVU13B |
| 2013-01-01 | $14.90 | $12.56 | RVU13AR |
Where the King County, WA rate applies
King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.
- Seattle
- Algona
- Ames Lake
- 99406 in Auburn · multiple payment areas
- Baring
- Beaux Arts Village
- Bellevue
- Black Diamond
99406 billing questions
How does 99406 differ from 99407?
99406 covers more than 3 minutes through 10 minutes of individual tobacco cessation counseling. Use 99407 when the counseling exceeds 10 minutes.
Does brief advice to quit support 99406?
The documented counseling must exceed 3 minutes. A brief recommendation to stop smoking without that level of counseling does not meet this code’s time threshold.
What should the note include?
Document the tobacco-use issue addressed, counseling content, total counseling time, and the patient’s response or cessation plan.
Can this be reported with an office visit?
It may be reported for a distinct tobacco cessation counseling service performed during the same encounter as an office visit. The record should make the counseling service and its time clear.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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