CPT code 99407: Smoking cessation, more than 10 minutes2026 Medicare rate & RVUs in Merced, CA

Reports an intensive, individual tobacco-cessation counseling visit when a clinician spends more than 10 minutes helping a patient stop tobacco use.

CMS RVU26DEffective Oct 1, 2026One payment locality62.5K Medicare services in 2024

In Merced, CA, Medicare pays $29.78 for 99407 in the office and $22.09 when it’s performed in a hospital or facility.

$29.78Office (non-facility)
$22.09Hospital or facility
+2.5%vs the national office rate ($29.06)

Check a contract rate as a % of Medicare · 99407 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 99407 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Merced, CA
  2. What 99407 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 99407 covers

A physician or other qualified health professional uses this service for focused, individual counseling with a patient who uses tobacco. The discussion may assess readiness to quit, advise cessation, address barriers or triggers, and develop a quit plan. It is distinct from simply recording tobacco use or screening for tobacco exposure; the encounter must include active cessation counseling. Counseling may occur in an office or facility setting.

Select 99407 when the time spent on the tobacco-cessation counseling exceeds 10 minutes. The shorter counseling level, 99406, is for a different time threshold. Document the tobacco-use concern, the counseling and cessation strategies discussed, and the time devoted to that work. Report the service for the counseling visit, not for the number of tobacco products or cessation strategies discussed. CMS assigns work and practice-expense values to this service.

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 Merced, CA compares for 99407

Across 109 of 109 payment localities, the office rate for 99407 runs from $26.86 in Arkansas to $37.53 in Alaska. Merced, CA pays $29.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

99407 in Merced, CA vs other payment areas
  1. Merced, CA · this page$29.78
  2. Bakersfield, CA · California$29.91+$0.13
  3. Chico, CA · California$29.78
  4. El Centro, CA · California$29.79+$0.01
  5. Fresno, CA · California$29.78
  6. Hanford, CA · California$29.78
  7. Los Angeles, CA · California$31.31+$1.53

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

99407 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$29.78$22.09
Modesto, CACalifornia$29.78$22.09
Napa, CACalifornia$32.96$23.71
Oxnard, CACalifornia$31.03$22.74
Redding, CACalifornia$29.78$22.09
Rest of CaliforniaCalifornia$29.78$22.09
Riverside, CACalifornia$30.22$22.53
Sacramento, CACalifornia$30.84$22.68

99407 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.

$26.86

$37.53

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
99407 office rate range by state
State / territoryOffice rate rangeLocalities
AK$37.531
AL$27.101
AR$26.861
AZ$28.521
CA$29.78–$35.1529
CO$29.671
CT$30.521
DC$32.071
DE$28.881
FL$29.25–$31.553
GA$28.12–$29.552
GU$30.011
HI$30.011
IA$27.321
ID$27.471
IL$28.85–$30.964
IN$27.571
KS$27.341
KY$27.721
LA$27.74–$28.592
MA$29.64–$31.732
MD$29.25–$32.073
ME$27.67–$28.472
MI$28.27–$29.592
MN$28.441
MO$27.50–$28.533
MS$27.181
MT$29.061
NC$27.841
ND$28.271
NE$27.381
NH$29.341
NJ$30.87–$31.972
NM$28.411
NV$28.851
NY$28.11–$33.365
OH$28.111
OK$27.581
OR$28.62–$30.212
PA$28.08–$30.072
PR$29.161
RI$29.601
SC$28.021
SD$28.171
TN$27.441
TX$27.97–$29.628
UT$28.261
VA$28.48–$32.072
VI$29.161
VT$28.291
WA$29.54–$32.152
WI$27.671
WV$28.191
WY$28.711

See 99407 in every payment locality

How the 99407 rate is calculated

Each of 99407’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 · 99407

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.50

0.50 RVUs× 1.000 GPCI

Practice expense0.33

0.33 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

0.8700

Conversion factor

$33.4009

Medicare rate

$29.06

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Merced, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,093

Code
99407
Physician work
0.50
Practice expense
0.33
Malpractice
0.04

GPCI2026.csv

15

Locality
Merced, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 99407 in Merced, CA
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0170.5085
Practice expense0.33× 1.0960.3617
Malpractice0.04× 0.5360.0214
Total RVUs0.8916
Conversion factor× 33.4009

Office rate, Merced, CA$29.78

Office: (0.5 × 1.017 + 0.33 × 1.096 + 0.04 × 0.536) × $33.4009 = $29.78

Facility: (0.5 × 1.017 + 0.12 × 1.096 + 0.04 × 0.536) × $33.4009 = $22.09

Open 99407 in the RVU calculator

Payment rules and modifiers for 99407

99407 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 · 99407

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$29.06

Non-facility (office)
$29.06
Facility
$22.04

Higher because the practice carries its own overhead.

How 99407 has changed in Merced, CA

99407 · Office / nonfacility

$29.78

Effective 2026-10-01

The base rate is $2.76 higher than on 2025-10-01, moving from $27.02 to $29.78 (10.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $27.02changed to$29.78

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.28 changed to 0.33
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $27.81changed to$27.02

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $27.36changed to$27.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $28.32changed to$27.36

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $29.28changed to$28.32

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.29 changed to 0.28
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $29.53changed to$29.28

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $29.95changed to$29.53

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.27 changed to 0.29
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $29.25changed to$29.95

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.26 changed to 0.27
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $28.83changed to$29.25

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.25 changed to 0.26

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $28.93changed to$28.83

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$28.93

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$29.78$22.09RVU26D
2026-07-01$29.78$22.09RVU26C
2026-04-01$29.78$22.09RVU26B
2026-01-01$29.78$22.09RVU26A
2025-10-01$27.02$24.20RVU25D
2025-07-01$27.02$24.20RVU25C
2025-04-01$27.02$24.20RVU25B
2025-01-01$27.02$24.20RVU25A
2024-10-01$27.81$24.90RVU24D
2024-07-01$27.81$24.90RVU24C
2024-04-01$27.81$24.90RVU24B
2024-03-09$27.81$24.90RVU24AR
2024-01-01$27.36$24.49RVU24A
2023-10-01$28.32$25.40RVU23D
2023-07-01$28.32$25.40RVU23C
2023-04-01$28.32$25.40RVU23B
2023-01-01$28.32$25.40RVU23A
2022-10-01$29.28$25.97RVU22D
2022-07-01$29.28$25.97RVU22C
2022-04-01$29.28$25.97RVU22B
2022-01-01$29.28$25.97RVU22A
2021-10-01$29.53$26.18RVU21D
2021-07-01$29.53$26.18RVU21C
2021-04-01$29.53$26.18RVU21B
2021-01-01$29.53$26.18RVU21A
2020-10-01$29.95$26.86RVU20D
2020-07-01$29.95$26.86RVU20C
2020-04-01$29.95$26.86RVU20B
2020-01-01$29.95$26.86RVU20A
2019-10-01$29.25$26.54RVU19D
2019-07-01$29.25$26.54RVU19C
2019-04-01$29.25$26.54RVU19B
2019-01-01$29.25$26.54RVU19A
2018-10-01$28.83$26.52RVU18D
2018-07-01$28.83$26.52RVU18C
2018-04-01$28.83$26.52RVU18B
2018-01-01$28.83$26.52RVU18AR1
2017-10-01$28.93$26.61RVU17D
2017-07-01$28.93$26.61RVU17C
2017-04-01$28.93$26.61RVU17B
2017-01-01$28.93$26.61RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 99407 for an earlier date of service

Where the Merced, CA rate applies

Merced, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Merced
  • Atwater
  • Ballico
  • Bear Creek
  • Cressey
  • Delhi
  • Dos Palos
  • Dos Palos Y

Browse all communities in California

99407 billing questions

When should 99407 be selected instead of 99406?

Use 99407 when tobacco-cessation counseling exceeds 10 minutes. Use 99406 for the shorter 3-to-10-minute counseling interval.

What documentation supports 99407?

Record the patient's tobacco-use concern, the cessation counseling provided, and the time spent on that counseling. The note should show active cessation work, such as assessing readiness or developing a quit plan.

Is this code for tobacco screening alone?

No. It represents counseling to help a patient stop tobacco use, not simply asking about or documenting tobacco use.

Does 99407 include cessation medication or products?

The code describes the counseling service. It does not describe a medication or cessation product.

Is the time based on the length of the whole visit?

Select the code based on time devoted to tobacco-cessation counseling, rather than unrelated work during the encounter. Document the counseling time.

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
RVUs for 99407PPRRVU2026_Oct_nonQPP.csv, line 13,093 (RVU26D)
Geographic factors for Merced, CAGPCI2026.csv, line 15 (RVU26D)

Open CMS sourceHow we calculate rates

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