CMS138v6 – Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

All patients aged 18 years and older seen for at least two visits or at least one preventive visit during the measurement period are included in Denominator.

– NUMERATOR

Patients who were screened for tobacco use at least once within 24 months AND who received tobacco cessation intervention if identified as a tobacco user.

-DENOMINATOR EXCEPTION

Documentation of medical reason(s) for not screening for tobacco use (eg, limited life expectancy, other medical reason).

For Denominator:
A patient of age 18 years and older having two visits or at least one preventive visit during the measurement period are included in Denominator.

The documentation of the first encounter takes place when one visit code gets attached with the patient’s eSuperbill/ charge.For Numerator:
To qualify for numerator, there are two conditions:

• The patient does not smoke:
  In case a patient does not smoke, navigate to (Patient > Clinical > History > Social).
•  Mark smoking status as ‘Never Smoker’ and click on Save.

  

• The patient smokes:
  In case a patient smokes, navigate to (Patient > Clinical > History > Social). Mark smoking status as ‘Chews Tobacco’ and click on Save.

-Denominator Exception

Documentation of medical reason(s) for not screening for tobacco use e.g. limited life expectancy. Limited life expectancy has a diagnosis code. R99. It needs to be added via diagnosis (Patient > Clinical > Diagnosis) with PFT turned off.