Table of Contents Previous Next

December 2016 Texas Medicaid Provider Procedures Manual

Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook : 3 Obstetric Services : 3.1 *Services, Benefits, Limitations, and Prior Authorization : 3.1.16 Tobacco Use Cessation

Counseling for cessation of the habit of using tobacco products by pregnant women is a benefit of Texas Medicaid.
The following procedure codes listed may be billed for tobacco use cessation counseling using an applicable diagnosis code:
One of the following diagnosis codes must be submitted for tobacco use cessation with the appropriate procedure code:
Procedure codes 99406 and 99407 are limited to once per day, same or different procedure code, any provider.
Procedure codes 99406 and 99407 may be billed in any combination by the same or different provider, and are limited to eight services per rolling year.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.