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S4995 Smoking cessation gum

S Codes

Also known as: nicotine gum, smoking cessation gum

Over-the-counter medicated chewing gum containing nicotine for smoking cessation therapy.

In Plain Language

nicotine gum for quitting smoking; medicated chewing gum for smoking

Clinical Context

Used in smoking cessation programs and primary care for nicotine replacement therapy.

RVU Information

CPT S4995 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

Primary CarePulmonologyAddiction Medicine

Frequently Asked Questions

What is CPT code S4995?

CPT S4995 (Smoking cessation gum) is a S Codes code. Over-the-counter medicated chewing gum containing nicotine for smoking cessation therapy.

Is S4995 covered by insurance?

S4995 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used in smoking cessation programs and primary care for nicotine replacement therapy.

When is CPT S4995 used?

Used in smoking cessation programs and primary care for nicotine replacement therapy.

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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.