CMS 138 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Medical Codify

CMS138v5 (2017)

CMS138v6 (2018)

CMS138v7 (2019)

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 tobacco cessation intervention if identified as a tobacco user. Three rates are reported:

  • Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months
  • Percentage of patients aged 18 years and older who were screened for tobacco use and 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 within 24 months 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:  

Denominator 1: Equals Initial Population

Denominator 2: Equals Initial Population who were screened for tobacco use and identified as a tobacco user

Denominator 3: Equals Initial Population

Numerator

Population 1: Patients who were screened for tobacco use at least once within 24 months

Population 2: Patients who received tobacco cessation intervention

Population 3: 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

Inverse Measure:  No

Clinical Instructions

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.

  • While documenting the Visit Encounter, open the Social History section.
  • Assess Smoking Status: (select one)
    • Current every day smoker
    • Current some day smoker
    • Former smoker
    • Never smoker
    • Heavy tobacco smoker
    • Light tobacco smoker
    • Smoker, current status unknown
    • Unknown if ever smoked
  • Based on the selected smoking status, additional fields/choices may need addressed (e.g., Age Started, Age Quit, Cessation Counseling, etc.). Answer accordingly.
Note
When marking the radio button for Cessation Counseling, the date MUST be entered as well. Selecting only the radio button or providing only a date of counseling will not satisfy the measure.
   * Continue documenting the encounter as appropriate * When complete, Close and Archive the encounter

Evidence

Initial Patient Population

Name Value Set
Encounter, Performed: Annual Wellness Visit 2.16.840.1.113883.3.526.3.1240
Encounter, Performed: Health & Behavioral Assessment - Individual 2.16.840.1.113883.3.526.3.1020
Encounter, Performed: Health and Behavioral Assessment - Initial 2.16.840.1.113883.3.526.3.1245
Encounter, Performed: Health and Behavioral Assessment, Reassessment 2.16.840.1.113883.3.526.3.1529
Encounter, Performed: Home Healthcare Services 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: Ophthalmological Services 2.16.840.1.113883.3.526.3.1285
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

Denominator

Name Value Set
Assessment, Performed: Tobacco Use Screening 2.16.840.1.113883.3.526.3.1278

2.16.840.1.113883.3.526.3.1170

Numerator

Name Value Set
Assessment, Performed: Tobacco Use Screening 2.16.840.1.113883.3.526.3.1278

2.16.840.1.113883.3.526.3.1170

2.16.840.1.113883.3.526.3.1189

Intervention, Performed: Tobacco Use Cessation Counseling 2.16.840.1.113883.3.526.3.509
Medication, Active: Tobacco Use Cessation Pharmacotherapy 2.16.840.1.113883.3.526.3.1190
Medication, Order: Tobacco Use Cessation Pharmacotherapy 2.16.840.1.113883.3.526.3.1190

Denominator Exception

Name Value Set
Assessment, Not Performed: Tobacco Use Screening 2.16.840.1.113883.3.526.3.1278

2.16.840.1.113883.3.526.3.1007

Intervention, Not Performed: Tobacco Use Cessation Counseling 2.16.840.1.113883.3.526.3.509

2.16.840.1.113883.3.526.3.1007

Medication, Not Ordered: Tobacco Use Cessation Pharmacotherapy 2.16.840.1.113883.3.526.3.1190

2.16.840.1.113883.3.526.3.1007

Diagnosis: Limited Life Expectancy 2.16.840.1.113883.3.526.3.1259

Source(s)

Medical Codify

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