Which CPT codes are used for Smoking Cessation?

• A. 90837 and 90853
• B. 99406 and 99407
• C. 99605 and 99606
• D. 99490 and 99491

Answer: (B)

CPT codes for smoking cessation are the ones created specifically for counseling a patient who uses tobacco to quit. They are time-based and designate that the visit is focused on tobacco-use counseling. The first code covers a counseling session up to 10 minutes, and the second code covers an intensive session longer than 10 minutes (often up to 30 minutes). This framing ensures the service is billed as dedicated tobacco cessation counseling, including discussions about risks, benefits, and plans for quitting, possibly including pharmacotherapy and follow-up.

Other codes shown don’t fit because they describe different services: psychotherapy codes are for mental health treatment, not tobacco-use cessation counseling; the remaining options are for different care services (such as other types of patient visits or chronic care management) and not the targeted tobacco-use counseling codes.