| Description | Percentage of patients aged 18 years and older who were screened for tobacco use one or more times during the measurement period AND who received tobacco cessation intervention if identified as a tobacco user |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times during the measurement period | Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention | Percentage of patients aged 18 years and older who were screened for tobacco use one or more times during the measurement period AND who received tobacco cessation intervention if identified as a tobacco user |
| Initial Patient Population | All patients aged 18 years and older seen for at least two visits or at least one preventive visit during the measurement period |
| Denominator | Equals Initial Population | Equals Initial Population who were screened for tobacco use and identified as a tobacco user | Equals Initial Population |
| Denominator Exclusions | – |
| Numerator | Patients who were screened for tobacco use at least once during the measurement period | Patients who received tobacco cessation intervention | Patients who were screened for tobacco use at least once during the measurement period AND who received tobacco cessation intervention if identified as a tobacco user |
| Numerator Exclusions | – |
| Denominator Exceptions | Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) | Documentation of medical reason(s) for not providing tobacco cessation intervention (e.g., limited life expectancy, other medical reason) | Documentation of medical reason(s) for not screening for tobacco use OR for not providing tobacco cessation intervention for patients identified as tobacco users (e.g., limited life expectancy, other medical reason) |
Using the Social History section of the encounter, ensure smoking status is documented and additional details are noted with the respective status (i.e., current smoker, former smoker, etc.). Cessation counseling or medications should be noted, when applicable, in order to populate the numerator appropriately.
2. Continue documenting the encounter as appropriate
3. When complete, Close and Archive the encounter
| Name | Value Set |
| Encounter, Performed: Annual Wellness Visit | 2.16.840.1.113883.3.526.3.1240 |
| Encounter, Performed: Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making) | CPT Code 96156 |
| Encounter, Performed: Health behavior intervention, individual, face-to-face; initial 30 minutes | 2.16.840.1.113883.3.464.1003.101.12.1016 |
| Encounter, Performed: Occupational Therapy Evaluation | 2.16.840.1.113883.3.526.3.1011 |
| Encounter, Performed: Office Visit | 2.16.840.1.113883.3.464.1003.101.12.1001 |
| Encounter, Performed: Online Assessments | 2.16.840.1.113883.3.464.1003.101.12.1089 |
| Encounter, Performed: Ophthalmological Services | 2.16.840.1.113883.3.526.3.1285 |
| Encounter, Performed: Physical Therapy Evaluation | 2.16.840.1.113883.3.526.3.1022 |
| Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up | 2.16.840.1.113883.3.464.1003.101.12.1025 |
| Encounter, Performed: Preventive Care Services - Group Counseling | 2.16.840.1.113883.3.464.1003.101.12.1027 |
| Encounter, Performed: Preventive Care Services - Other | 2.16.840.1.113883.3.464.1003.101.12.1030 |
| Encounter, Performed: Preventive Care Services-Individual Counseling | 2.16.840.1.113883.3.464.1003.101.12.1026 |
| Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up | 2.16.840.1.113883.3.464.1003.101.12.1023 |
| Encounter, Performed: Psych Visit - Diagnostic Evaluation | 2.16.840.1.113883.3.526.3.1492 |
| Encounter, Performed: Psych Visit - Psychotherapy | 2.16.840.1.113883.3.526.3.1496 |
| Encounter, Performed: Psychoanalysis | 2.16.840.1.113883.3.526.3.1141 |
| Encounter, Performed: Speech and Hearing Evaluation | 2.16.840.1.113883.3.526.3.1530 |
| Encounter, Performed: Telephone Visits | 2.16.840.1.113883.3.464.1003.101.12.1080 |