S4990 Nicotine patch legend
Also known as: nicotine patch prescription, prescription nicotine patch
Transdermal nicotine replacement patch requiring prescription medication for smoking cessation therapy.
In Plain Language
prescription nicotine patch for quitting smoking; medicated smoking cessation patch
Clinical Context
Used in primary care, pulmonology, and smoking cessation programs for prescription-strength nicotine replacement.
RVU Information
CPT S4990 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.
Specialties
Frequently Asked Questions
What is CPT code S4990?
CPT S4990 (Nicotine patch legend) is a S Codes code. Transdermal nicotine replacement patch requiring prescription medication for smoking cessation therapy.
Is S4990 covered by insurance?
S4990 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used in primary care, pulmonology, and smoking cessation programs for prescription-strength nicotine replacement.
When is CPT S4990 used?
Used in primary care, pulmonology, and smoking cessation programs for prescription-strength nicotine replacement.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.