S4991 Nicotine patch nonlegend
Also known as: nicotine patch over-the-counter, nonprescription nicotine patch
Transdermal nicotine replacement patch available over-the-counter without prescription for smoking cessation therapy.
In Plain Language
over-the-counter nicotine patch for quitting smoking; over-the-counter smoking patch
Clinical Context
Used by patients and healthcare providers for over-the-counter nicotine replacement smoking cessation.
RVU Information
CPT S4991 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 S4991?
CPT S4991 (Nicotine patch nonlegend) is a S Codes code. Transdermal nicotine replacement patch available over-the-counter without prescription for smoking cessation therapy.
Is S4991 covered by insurance?
S4991 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used by patients and healthcare providers for over-the-counter nicotine replacement smoking cessation.
When is CPT S4991 used?
Used by patients and healthcare providers for over-the-counter nicotine replacement smoking cessation.
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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.