Counseling to Prevent Tobacco Use (Rev. 2058, 01-03-11)

by  Jared Staheli
July 6th, 2015

Effective for claims with dates of service on and after August 25, 2010, the Centers for Medicare & Medicaid Services (CMS) will cover counseling to prevent tobacco use services for outpatient and hospitalized Medicare beneficiaries:

1. Who use tobacco, regardless of whether they have signs or symptoms of tobaccorelated disease;

2. Who are competent and alert at the time that counseling is provided; and,

3. Whose counseling is furnished by a qualified physician or other Medicare-recognized practitioner.

These individuals who do not have signs or symptoms of tobacco-related disease will be covered under Medicare Part B when the above conditions of coverage are met, subject to certain frequency and other limitations.

Conditions of Medicare Part A and Medicare Part B coverage for counseling to prevent tobacco use are located in the Medicare National Coverage Determinations (NCD)Manual, Publication 100-3, chapter1, section 210.4.1.


Counseling to Prevent Tobacco Use (Rev. 2058, 01-03-11). (2015, July 6). Find-A-Code Articles. Retrieved from

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