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    v1.0.30
    OpenPayerBilling CodesTherapeutic, Preventive or Other InterventionsCPT cpt-4000f-asthma-tobacco-exposure-counseling
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    CPT 4000F: Asthma-Related Tobacco Exposure and Counseling

    CPT code 4000F documents a brief counseling encounter in which a clinician identifies tobacco use or secondhand smoke exposure in a patient presenting with asthma and provides counseling to the patient and/or caregiver on smoking cessation and elimination of passive smoke exposure; service type: brief tobacco-exposure and cessation counseling; typical site of service: outpatient clinic, primary care or pediatric office, or ambulatory visit during an asthma-focused evaluation.

    For related coverage guidance, see recent payer policy updates: Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients with Elevated Office Blood Pressure, Cardiology - Ivabradine, Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA).

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    Clinical & Coding Specifications

    Clinical Context

    A school-age child with persistent asthma presents to a primary care clinic for routine follow-up. During the visit the clinician reviews symptoms, inhaler use, and environmental triggers. The parent discloses that another household member smokes and the child is frequently exposed to secondhand smoke. The provider documents the diagnosis of asthma, counsels the parent and child in a brief smoking-cessation and household smoke-exposure elimination conversation, and records the counseling time and content. The counseling is brief (typically several minutes), delivered during the same encounter as the asthma management visit, and focuses on cessation resources, reducing household exposure, and referral to community quit-smoking programs when appropriate. Typical site of service is an outpatient primary care clinic or pediatric office; the service is often billed as an encounter-level preventive counseling add-on when the provider documents that tobacco exposure was identified and brief cessation counseling was performed. Usual workflow: intake and vitals, focused history confirming tobacco exposure, clinician counseling, documentation of counseling and educational materials provided, and referral or printed resources for smoking cessation support.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    99406Smoking and tobacco-use cessation counseling visit, intermediate, greater than 3 minutes up to 10 minutesMay be used when a separate, focused tobacco-cessation counseling session of intermediate length is billed during the encounter.
    99407Smoking and tobacco-use cessation counseling visit, intensive, greater than 10 minutesUsed when counseling exceeds 10 minutes and meets documentation for an intensive cessation intervention.
    99213Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutesCommon E/M code for the asthma follow-up visit during which brief tobacco-exposure counseling is performed.
    94375Smoking cessation intervention (Note: placeholder for counseling-related services)Use in workflows where counseling is part of structured pulmonary or smoking cessation programs (verify payer-specific coding).

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    95Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…
    66Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…
    1PModifier 1P is a Category II performance measure exclusion modifier used to indicate that a patient’s medical condition prevented performance of the action specified by a Category II quality measure…- Use modifier 1P only with Category II (quality reporting) codes when the specific measure’s reporting instructions explicitly allow a medical-reason exclusion; it marks the patient as medically…
    54Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207Q00000X
    207RC0000X
    208000000X
    207L00000X
    1835C0207X
    226300000X
    3336I0012X
    207YX0602X

    Related ICD-10-CM Codes

    28 rows

    ICD-10-CM CodeDescription
    F17.200Nicotine dependence, unspecified, uncomplicated
    F17.210Nicotine dependence, cigarettes, uncomplicated
    F17.211Nicotine dependence, cigarettes, in remission
    J44.1Chronic obstructive pulmonary disease with (acute) exacerbation
    J44.9Chronic obstructive pulmonary disease, unspecified
    J45.20Mild intermittent asthma, uncomplicated
    J45.21Mild intermittent asthma with (acute) exacerbation
    J45.22Mild intermittent asthma with status asthmaticus
    J45.30Mild persistent asthma, uncomplicated
    J45.31Mild persistent asthma with (acute) exacerbation

    Showing 1–10 of 28

    Related Payer Policy Updates

    Specialty: Cardiology1 / 3

    10 rows

    PolicyPayerEffective Date
    Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients with Elevated Office Blood PressureBluecross Idaho2026-11-01
    Cardiology - IvabradineCigna2026-10-15
    Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)univerahealthcare2026-10-15
    Percutaneous Ventricular Assist DeviceUnitedHealthcare2026-10-01
    Cardiovascular Disease Risk AssessmentOscar Health2026-10-01
    Biomarkers for Myocardial Infarction and Chronic Heart FailureOscar Health2026-10-01
    Multiple Procedure Payment Reduction for Diagnostic Cardiovascular ProceduresBlue Cross Blue Shield - Maine2026-10-01
    Left Atrial Appendage Closure Devicesexcellus_health_plan_inc2026-09-17
    Left Atrial Appendage Closure Devicesuniverahealthcare2026-09-17
    Cardiac Omnibus CodesCigna2026-09-15

    Related Codes

    CPT-4001F-ASTHMA-TOBACCO-EXPOSURE-SMOKING-CESSATION-MEDICATION-DISCUSSION

    CPT 4001F: Asthma Patient Tobacco Exposure and Smoking Cessation Discussion

    CPT-4003F-UNDEFINED-MEASURE

    CPT 4003F: Preventive Counseling or Risk-Factor Intervention

    CPT-4004F-TOBACCO-USE-SCREENING-AND-CESSATION-OFFER-ADULT

    CPT 4004F: Tobacco Use Screening and Offer of Cessation for Adults

    CPT-4005F-UNKNOWN-SERVICE

    CPT 4005F: No Summary found

    CPT-4008F-UNKNOWN-SERVICE

    CPT 4008F: No Summary available

    CPT-4010F-ACE-INHIBITOR-ARB-THERAPY-DOCUMENTATION

    CPT 4010F: ACE Inhibitor or ARB Therapy Prescribed or Current

    CPT-4011F-ANTIPLATELET-THERAPY-PRESCRIPTION-MANAGEMENT

    CPT 4011F: Prescription for Antiplatelet Therapy

    CPT-4012F-UNCATEGORIZED-PROCEDURE

    CPT 4012F: No Summary Available

    CPT-4013F-STATIN-THERAPY-PRESCRIPTION-OR-CURRENT-USE

    CPT 4013F: Statin Therapy Prescription or Current Use

    CPT-4014F-PERFORMANCE-MEASURE-QUALITY-REPORTING

    CPT 4014F: Unspecified Procedure — No Summary Available

    Showing 1–10 of 175

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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