Thank you for this question. Provided the measure specifications specifically include counseling for alcohol consumption, increased physical activity, and weight reduction, during the next Annual Update, we will consider referring to tobacco cessation as a lifestyle adjustment to counter high blood pressure. Value set Lifestyle Recommendation (2.16.840.1.113883.3.526.3.1581) is meant to capture lifestyle recommendations and education relevant to hypertension. Tobacco cessation would likely be relevant to that value set for patients identified with elevated and hypertensive blood pressure readings as specified by the measure.