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

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 Mississippi, Medicare pays $27.18 for 99407 in the office and $21.14 when it’s performed in a hospital or facility.

$27.18Office (non-facility)
$21.14Hospital or facility
−6.5%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 Mississippi
  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 Mississippi 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. Mississippi pays $27.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

99407 in Mississippi vs other payment areas
  1. Mississippi · this page$27.18
  2. Los Angeles, CA · California$31.31+$4.13
  3. Washington, DC area · District of Columbia$32.07+$4.89
  4. Miami, FL · Florida$31.55+$4.37
  5. Chicago, IL · Illinois$30.96+$3.78
  6. Manhattan, NY · New York$32.70+$5.52
  7. Alaska · Alaska$37.53+$10.35

Other areas in Mississippi 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 Mississippi 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

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 99407 in Mississippi
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0000.5000
Practice expense0.33× 0.8610.2841
Malpractice0.04× 0.7390.0296
Total RVUs0.8137
Conversion factor× 33.4009

Office rate, Mississippi$27.18

Office: (0.5 × 1 + 0.33 × 0.861 + 0.04 × 0.739) × $33.4009 = $27.18

Facility: (0.5 × 1 + 0.12 × 0.861 + 0.04 × 0.739) × $33.4009 = $21.14

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 Mississippi

99407 · Office / nonfacility

$27.18

Effective 2026-10-01

The base rate is $2.30 higher than on 2025-10-01, moving from $24.88 to $27.18 (9.2%).

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

    $24.88changed to$27.18

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.28 changed to 0.33
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $25.61changed to$24.88

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $25.19changed to$25.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $25.96changed to$25.19

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $26.68changed to$25.96

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.29 changed to 0.28
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $26.90changed to$26.68

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $27.33changed to$26.90

    • 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 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $26.70changed to$27.33

    • 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 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $26.36changed to$26.70

    • 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

    $26.43changed to$26.36

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $26.20changed to$26.43

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.24 changed to 0.25
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $26.08changed to$26.20

    • 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

    $25.95changed to$26.08

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $26.09changed to$25.95

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $25.45changed to$26.09

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.26 changed to 0.24
    • Practice expense GPCI 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $25.45

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$27.18$21.14RVU26D
2026-07-01$27.18$21.14RVU26C
2026-04-01$27.18$21.14RVU26B
2026-01-01$27.18$21.14RVU26A
2025-10-01$24.88$22.68RVU25D
2025-07-01$24.88$22.68RVU25C
2025-04-01$24.88$22.68RVU25B
2025-01-01$24.88$22.68RVU25A
2024-10-01$25.61$23.34RVU24D
2024-07-01$25.61$23.34RVU24C
2024-04-01$25.61$23.34RVU24B
2024-03-09$25.61$23.34RVU24AR
2024-01-01$25.19$22.96RVU24A
2023-10-01$25.96$23.66RVU23D
2023-07-01$25.96$23.66RVU23C
2023-04-01$25.96$23.66RVU23B
2023-01-01$25.96$23.66RVU23A
2022-10-01$26.68$24.06RVU22D
2022-07-01$26.68$24.06RVU22C
2022-04-01$26.68$24.06RVU22B
2022-01-01$26.68$24.06RVU22A
2021-10-01$26.90$24.26RVU21D
2021-07-01$26.90$24.26RVU21C
2021-04-01$26.90$24.26RVU21B
2021-01-01$26.90$24.26RVU21A
2020-10-01$27.33$24.85RVU20D
2020-07-01$27.33$24.85RVU20C
2020-04-01$27.33$24.85RVU20B
2020-01-01$27.33$24.85RVU20A
2019-10-01$26.70$24.51RVU19D
2019-07-01$26.70$24.51RVU19C
2019-04-01$26.70$24.51RVU19B
2019-01-01$26.70$24.51RVU19A
2018-10-01$26.36$24.48RVU18D
2018-07-01$26.36$24.48RVU18C
2018-04-01$26.36$24.48RVU18B
2018-01-01$26.36$24.48RVU18AR1
2017-10-01$26.43$24.56RVU17D
2017-07-01$26.43$24.56RVU17C
2017-04-01$26.43$24.56RVU17B
2017-01-01$26.43$24.56RVU17A
2016-10-01$26.20$24.66RVU16D
2016-07-01$26.20$24.66RVU16C
2016-04-01$26.20$24.66RVU16B
2016-01-01$26.20$24.66RVU16A
2015-10-01$26.08$24.53RVU15D
2015-07-01$26.08$24.53RVU15C
2015-04-01$25.95$24.40RVU15B
2015-01-01$25.95$24.40RVU15A
2014-10-01$26.09$24.54RVU14D
2014-07-01$26.09$24.54RVU14C
2014-04-01$26.09$24.54RVU14B
2014-01-01$26.09$24.54RVU14A
2013-10-01$25.45$23.68RVU13D
2013-07-01$25.45$23.68RVU13C
2013-04-01$25.45$23.68RVU13B
2013-01-01$25.45$23.68RVU13AR

Price 99407 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

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 MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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