Brief Description of Measure:

CMS138: Preventive Care and Screening: Tobacco Use: Screening and 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

Three rates are reported:

a. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times during the measurement period

b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention

c. 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

Description of Issue:

Clinicians are using the ICD-10-CM code Z71.6 to bill for tobacco screening and counseling. We received implementer feedback via Jira that clinicians would like to use this direct reference ICD-10-CM code to meet the quality measure as well.

Proposed Solution:

We agree with the implementer feedback and plan to add the direct reference ICD-10-CM code of Z71.6 - "Tobacco abuse counseling" to the measure in the Tobacco Cessation Counseling Given definition:

Tobacco Cessation Counseling Given
(["Intervention, Performed": "Tobacco Use Cessation Counseling"]

TobaccoCessationCounseling

  where Global."NormalizeInterval" ( TobaccoCessationCounseling.relevantDatetime, TobaccoCessationCounseling.relevantPeriod )

during day of Interval[start of "Measurement Period" - 6 months,

  end of "Measurement Period"])

union ( ["Diagnosis: "Tobacco abuse counseling"] TobaccoCounseling

where TobaccoCounseling.prevalencePeriod

during day of Interval[start of "Measurement Period" - 6 months,

  end of "Measurement Period"]

Rationale for Change:

We plan to incorporate the direct reference ICD-10-CM code of Z71.6 into "Tobacco abuse counseling" into the Tobacco Cessation Counseling Given definition based on implementer feedback.