how to you report a patient that uses tabacco and has a dependence o tabacco

by Guiseppe Denesik 10 min read

A Practical Guide to Help Your Patients Quit Using Tobacco

14 hours ago  · Healthcare providers in a variety of settings play a critical role in helping people quit using tobacco. 1 Even brief advice from you can make it much more likely that your patients will try to quit—and ultimately succeed. 1 Evidence-based treatment—including counseling and cessation medications approved by the US Food and Drug Administration (FDA)—significantly … >> Go To The Portal


Only one code should be used to report the patient’s tobacco use. For example, if the patient uses and is dependent, only the code for the dependence should be assigned. The sixth digit in ICD-10 code describes the patient’s dependence as follows:

Full Answer

What is tobacco dependence?

Tobacco dependence is a chronic condition driven by addiction to nicotine. No amount of tobacco use is safe, and treatment of tobacco use and dependence often requires multiple interventions and long-term support. Effective clinical interventions are available to help patients who use tobacco to quit.

How do tobacco users choose a quitline or web-only intervention?

Among adult tobacco users who called a state quitline, most selected an integrated phone/web cessation program in favor of a web-only intervention. 185 Participants who chose the web-only option tended to be younger and healthier smokers, with a higher socioeconomic status.

Who can help patients with tobacco addiction?

Physicians, pharmacists, nurses, physician's assistants, and other professions working with patients who use tobacco. Clinicians should identify tobacco users at each visit and intervene with those individuals who are willing to quit (go to Five Major Steps to Intervention [The "5 A's"] ).

Do all tobacco users have the potential to quit?

All tobacco users have the potential to successfully quit, and every clinician should commit to delivering treatment that can help. Internet Citation: Treating Tobacco Use and Dependence: PHS Clinical Practice Guideline.

How do you code tobacco use and dependence?

KMA Resource Guide.ICD-10 Coding for Tobacco Use/Abuse/Dependence.Category F17.21 is used to identify nicotine.dependence with cigarettes.Category F17.22 is used to identify nicotine.dependence with chewing tobacco.Category F17.29 is used to identify nicotine.dependence with other tobacco products.

What are the 5 A's of intervention for tobacco users?

Successful intervention begins with identifying users and appropriate interventions based upon the patient's willingness to quit. The five major steps to intervention are the "5 A's": Ask, Advise, Assess, Assist, and Arrange. Ask - Identify and document tobacco use status for every patient at every visit.

How do you assess for tobacco use?

Assessing ReinforcementSENSORY REWARDS. “Lots of smokers like the way a cigarette feels in their fingers. ... RITUALS. ... IMAGE. ... EMOTIONAL RELIEF. ... PRECONTEMPLATION. ... CONTEMPLATION. ... PREPARATION. ... ACTION.

How do you document tobacco?

Documentation Tips: ✓ Be as specific as possible when documenting current and past history of nicotine use/dependence. for example, document “quit smoking cigarettes in 2014” or “quit cigars at age 42,” rather than just “quit smoking” or “does not currently use tobacco.”

How do you address tobacco?

Here are 10 ways to help you resist the urge to smoke or use tobacco when a craving strikes.Try nicotine replacement therapy. Ask your health care provider about nicotine replacement therapy. ... Avoid triggers. ... Delay. ... Chew on it. ... Don't have 'just one' ... Get physical. ... Try relaxation techniques. ... Call for reinforcements.More items...

What best practice interventions would the nurse recommend for tobacco cessation assistance?

Nurses and brief interventionAsk about tobacco use.Advise the patient to quit.Assess readiness to quit.Assist the patient in quitting.Arrange a follow up to check their status.

What is the ICD 10 code for Nicotine Dependence?

Nicotine dependence, unspecified, uncomplicated F17. 200 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM F17. 200 became effective on October 1, 2021.

What is the code for tobacco use?

specifically, in ICD-9, providers commonly used diagnosis code 305.1 (tobacco use disorder) or V15. 82 (history of tobacco use) depending on the status of the patient as a current or former tobacco user.

What does Nicotine Dependence mean?

Nicotine dependence occurs when you need nicotine and can't stop using it. Nicotine is the chemical in tobacco that makes it hard to quit. Nicotine produces pleasing effects in your brain, but these effects are temporary.

How do you code tobacco cessation counseling?

Smoking Cessation Counseling Codes 99406 and 99407 Medicare covers 2 cessation attempts per 12-month period. Each attempt includes a maximum of up to 4 intermediate (99406) or intensive (99407) counseling sessions, with a total Medicare benefit of 8 sessions per year.

What is the CPT code for tobacco screening?

Services typically provided under CPT codes 99406 and 99407 satisfy the requirement of tobacco cessation intervention, as these services provide tobacco cessation counseling for 3-10 minutes. If a patient received these types of services, submit G-code G9906.

Who can bill CPT 99406?

Medicare and most private insurers pay for physicians, NPs and PAs to counsel patients about stopping tobacco use.