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

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 Minnesota, Medicare pays $28.44 for 99407 in the office and $21.22 when it’s performed in a hospital or facility.

$28.44Office (non-facility)
$21.22Hospital or facility
−2.1%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 Minnesota
  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 Minnesota 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. Minnesota pays $28.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

99407 in Minnesota vs other payment areas
  1. Minnesota · this page$28.44
  2. Los Angeles, CA · California$31.31+$2.87
  3. Washington, DC area · District of Columbia$32.07+$3.63
  4. Miami, FL · Florida$31.55+$3.11
  5. Chicago, IL · Illinois$30.96+$2.52
  6. Manhattan, NY · New York$32.70+$4.26
  7. Alaska · Alaska$37.53+$9.09

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

Every other payment area

99407 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$27.10$20.96
ArkansasArkansas$26.86$20.83
ArizonaArizona$28.52$21.73
Bakersfield, CACalifornia$29.91$22.22
Chico, CACalifornia$29.78$22.09
El Centro, CACalifornia$29.79$22.10
Fresno, CACalifornia$29.78$22.09
Hanford, CACalifornia$29.78$22.09

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 Minnesota 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

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 99407 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0000.5000
Practice expense0.33× 1.0290.3396
Malpractice0.04× 0.2960.0118
Total RVUs0.8514
Conversion factor× 33.4009

Office rate, Minnesota$28.44

Office: (0.5 × 1 + 0.33 × 1.029 + 0.04 × 0.296) × $33.4009 = $28.44

Facility: (0.5 × 1 + 0.12 × 1.029 + 0.04 × 0.296) × $33.4009 = $21.22

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 Minnesota

99407 · Office / nonfacility

$28.44

Effective 2026-10-01

The base rate is $2.60 higher than on 2025-10-01, moving from $25.84 to $28.44 (10.1%).

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

    $25.84changed to$28.44

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.28 changed to 0.33
    • Practice expense GPCI 1.025 changed to 1.029
    • Malpractice GPCI 0.300 changed to 0.296

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $26.60changed to$25.84

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $26.16changed to$26.60

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $27.05changed to$26.16

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300
  5. January 1, 2023

    RVU23A

    $27.96changed to$27.05

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.29 changed to 0.28
    • Practice expense GPCI 1.013 changed to 1.019
    • Malpractice GPCI 0.353 changed to 0.326

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $28.19changed to$27.96

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $28.55changed to$28.19

    • 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
    • Practice expense GPCI 1.012 changed to 1.013
    • Malpractice GPCI 0.357 changed to 0.353

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $28.01changed to$28.55

    • 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
    • Practice expense GPCI 1.011 changed to 1.012
    • Malpractice GPCI 0.362 changed to 0.357

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $27.62changed to$28.01

    • 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

    $27.55changed to$27.62

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.016 changed to 1.011
    • Malpractice GPCI 0.341 changed to 0.362

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $27.12changed to$27.55

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.24 changed to 0.25
    • Practice expense GPCI 1.020 changed to 1.016
    • Malpractice GPCI 0.319 changed to 0.341

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $27.11changed to$27.12

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $26.97changed to$27.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $26.97changed to$26.97

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 1.016 changed to 1.020
    • Malpractice GPCI 0.301 changed to 0.319

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $26.25changed to$26.97

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.26 changed to 0.24
    • Practice expense GPCI 1.012 changed to 1.016
    • Malpractice GPCI 0.282 changed to 0.301

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$26.25

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$28.44$21.22RVU26D
2026-07-01$28.44$21.22RVU26C
2026-04-01$28.44$21.22RVU26B
2026-01-01$28.44$21.22RVU26A
2025-10-01$25.84$23.19RVU25D
2025-07-01$25.84$23.19RVU25C
2025-04-01$25.84$23.19RVU25B
2025-01-01$25.84$23.19RVU25A
2024-10-01$26.60$23.87RVU24D
2024-07-01$26.60$23.87RVU24C
2024-04-01$26.60$23.87RVU24B
2024-03-09$26.60$23.87RVU24AR
2024-01-01$26.16$23.48RVU24A
2023-10-01$27.05$24.29RVU23D
2023-07-01$27.05$24.29RVU23C
2023-04-01$27.05$24.29RVU23B
2023-01-01$27.05$24.29RVU23A
2022-10-01$27.96$24.80RVU22D
2022-07-01$27.96$24.80RVU22C
2022-04-01$27.96$24.80RVU22B
2022-01-01$27.96$24.80RVU22A
2021-10-01$28.19$25.01RVU21D
2021-07-01$28.19$25.01RVU21C
2021-04-01$28.19$25.01RVU21B
2021-01-01$28.19$25.01RVU21A
2020-10-01$28.55$25.63RVU20D
2020-07-01$28.55$25.63RVU20C
2020-04-01$28.55$25.63RVU20B
2020-01-01$28.55$25.63RVU20A
2019-10-01$28.01$25.46RVU19D
2019-07-01$28.01$25.46RVU19C
2019-04-01$28.01$25.46RVU19B
2019-01-01$28.01$25.46RVU19A
2018-10-01$27.62$25.44RVU18D
2018-07-01$27.62$25.44RVU18C
2018-04-01$27.62$25.44RVU18B
2018-01-01$27.62$25.44RVU18AR1
2017-10-01$27.55$25.36RVU17D
2017-07-01$27.55$25.36RVU17C
2017-04-01$27.55$25.36RVU17B
2017-01-01$27.55$25.36RVU17A
2016-10-01$27.12$25.30RVU16D
2016-07-01$27.12$25.30RVU16C
2016-04-01$27.12$25.30RVU16B
2016-01-01$27.12$25.30RVU16A
2015-10-01$27.11$25.27RVU15D
2015-07-01$27.11$25.27RVU15C
2015-04-01$26.97$25.15RVU15B
2015-01-01$26.97$25.15RVU15A
2014-10-01$26.97$25.15RVU14D
2014-07-01$26.97$25.15RVU14C
2014-04-01$26.97$25.15RVU14B
2014-01-01$26.97$25.15RVU14A
2013-10-01$26.25$24.19RVU13D
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 Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

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 MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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