$27.34
Use 99406 for more than 3 through 10 minutes of counseling; use 99407 when counseling exceeds 10 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
99406 Smoking cessation Medicare reimbursement rates in Kansas
Report 99406 for an individual smoking or tobacco-use cessation counseling service lasting more than 3 minutes and no more than 10 minutes. Compare 99406 office and facility rates across CMS payment localities in Kansas.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 99406 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$14.39
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$10.16
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Preventive counseling
About 99406: Intermediate tobacco cessation counseling
Report 99406 for an individual smoking or tobacco-use cessation counseling service lasting more than 3 minutes and no more than 10 minutes.
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. The supplied CMS rules list no additional payment provisions for this code.
Where the value comes from
- Work RVU0.24 · 52%
- Practice expense (office) RVU0.20 · 43%
- Malpractice RVU0.02 · 4%
324.4K
Medicare services in 2024 · #294 by national volume
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.
99406 compared with similar codes
Office rates for Kansas, from the same CMS release.
99401
No office ratePrev med cnsl indiv apprx 15
99401 is general individual preventive counseling. 99406 is the tobacco cessation-specific service with its own time threshold.
99408
No office rateAudit/dast 15-30 min
99408 describes alcohol or drug screening and brief intervention, not counseling to stop smoking or tobacco use.
Compare 99406 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kansas →
Office / nonfacility
$14.39
Facility
$10.16
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 99406 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
13,092
- Code
- 99406
- Physician work
- 0.24
- Practice expense
- 0.20
- Malpractice
- 0.02
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.24 | × 1.000 | 0.2400 |
| Practice expense | 0.20 | × 0.904 | 0.1808 |
| Malpractice | 0.02 | × 0.504 | 0.0101 |
| Total RVUs | 0.4309 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$14.39
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.24 | 1 |
| Practice expense | 0.2 | 0.904 |
| Malpractice | 0.02 | 0.504 |
(0.24 × 1 + 0.2 × 0.904 + 0.02 × 0.504) × $33.4009 = $14.39
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.24 | 1 |
| Practice expense | 0.06 | 0.904 |
| Malpractice | 0.02 | 0.504 |
(0.24 × 1 + 0.06 × 0.904 + 0.02 × 0.504) × $33.4009 = $10.16
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
13,08999402,,Prev med cnsl indiv apprx 30,N,+,0.98,0.90,,0.22,,0.06,1.94,1.26,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,09099403,,Prev med cnsl indiv apprx 45,N,+,1.46,1.10,,0.32,,0.08,2.64,1.86,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,09199404,,Prev med cnsl indiv apprx 60,N,+,1.95,1.32,,0.42,,0.12,3.39,2.49,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,09299406,,Behav chng smoking 3-10 min,A,,0.24,0.20,,0.06,,0.02,0.46,0.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,09399407,,Behav chng smoking > 10 min,A,,0.50,0.33,,0.12,,0.04,0.87,0.66,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,09499408,,Audit/dast 15-30 min,N,+,0.65,0.36,,0.14,,0.04,1.05,0.83,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,09599409,,Audit/dast over 30 min,N,+,1.30,0.65,,0.29,,0.07,2.02,1.66,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958