| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Claims, EHR, CMS Web Interface, Registry | Process | No | Community/Population Health | Allergy/Immunology, Internal Medicine, Cardiology, Dermatology, Emergency Medicine, Gastroenterology, General Surgery, General Oncology, Hospitalists, Neurology, Obstetrics/Gynecology, Ophthalmology, Orthopedic Surgery, Otolaryngology, Physical Medicine, Preventive Medicine, Rheumatology, Thoracic Surgery, Urology, Vascular Surgery, Mental/Behavioral Health, Plastic Surgery, General Practice/Family Medicine |
Measure Description
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user
Instruction
This measure is to be reported once per performance period for patients seen during the performance period. This measure is intended to reflect the quality of services provided for preventive screening for tobaccouse.
Denominator
All patients aged 18 years and older
DENOMINATOR NOTE: *Signifies that this CPT Category I code is a non-covered service under the Medicare Part B Physician Fee Schedule (PFS). These non-covered services should be counted in the denominator population for registry-based measures.
Denominator Criteria (Eligible Cases):
Patients aged ≥ 18 years
AND
At least two patient encounters during the performance period (CPT): 90791, 90792, 90832, 90834, 90837, 90845, 92002, 92004, 92012, 92014, 96150, 96151, 96152, , 97165, 97166, 97167, 97168, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
WITHOUT
Telehealth Modifier: GQ, GT
OR
At least one preventive encounter during the performance period (CPT or HCPCS): 92521, 92522, 92523, 92524, 92540, 92557, 96160, 96161, 92625, 99385*, 99386*, 99387*, 99395*, 99396*, 99397*, 99401*, 99402*, 99403*, 99404*, 99406, 99407, 99411*, 99412*, 99429*, G0438, G0439
WITHOUT
Telehealth Modifier: GQ, GT
Numerator
Patients who were screened for tobacco use at least once within 24 months AND who received tobaccocessation intervention if identified as a tobacco user
Definitions:
Tobacco Use – Includes any type of tobacco
Tobacco Cessation Intervention – Includes brief counseling (3 minutes or less), and/or pharmacotherapy
NUMERATOR NOTE: In the event that a patient is screened for tobacco use and identified as a user but did not receive tobacco cessation intervention or tobacco status is unknown report 4004F with8P.
This measure defines tobacco cessation counseling as lasting 3 minutes or less. 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, report CPT II 4004F.
Numerator Options:
Performance Met: Patient screened for tobacco use AND received tobacco cessation intervention (counseling, pharmacotherapy, or both), if identified as a tobacco user (4004F)
OR
Performance Met: Current tobacco non-user (1036F)
OR
Denominator Exception: Documentation of medical reason(s) for notscreening for tobacco use (eg, limited life expectancy, other medical reason) (4004F with 1P)
OR
Performance Not Met: Tobacco screening OR tobacco cessation intervention not performed, reason not otherwise specified (4004F with 8P)