Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 

QPP Measure #226

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 within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Submission Methods: Claims, Electronic Health Record, Cms Web Interface, Registry
Measure Sets: Allergy Immunology, Cardiology, Gastroenterology, Dermatology, Family Medicine, Internal Medicine, Obstetrics Gynecology, Ophthalmology, Orthopedic Surgery, Otolaryngology, Physical Medicine, Plastic Surgery, Preventive Medicine, Neurology, Mental Behavioral Health, Vascular Surgery, General Surgery, Thoracic Surgery, Urology, Oncology, Rheumatology, Neurosurgical, Podiatry, Urgent Care

The following codes apply for this QPP measure:

CPT Codes

CodeDescription
1036FCPT Code
4004FCPT Code
90791CPT Code
90792CPT Code
90832CPT Code
90834CPT Code
90837CPT Code
90845CPT Code
92002CPT Code
92004CPT Code
92012CPT Code
92014CPT Code
92521CPT Code
92522CPT Code
92523CPT Code
92524CPT Code
92540CPT Code
92557CPT Code
92625CPT Code
96150CPT Code
96151CPT Code
96152CPT Code
97165CPT Code
97166CPT Code
97167CPT Code
97168CPT Code
99201CPT Code
99202CPT Code
99203CPT Code
99204CPT Code
99205CPT Code
99212CPT Code
99213CPT Code
99214CPT Code
99215CPT Code
99341CPT Code
99342CPT Code
99343CPT Code
99344CPT Code
99345CPT Code
99347CPT Code
99348CPT Code
99349CPT Code
99350CPT Code
99385CPT Code
99386CPT Code
99387CPT Code
99395CPT Code
99396CPT Code
99397CPT Code
99401CPT Code
99402CPT Code
99403CPT Code
99404CPT Code
99411CPT Code
99412CPT Code
99429CPT Code

HCPCS Codes

CodeDescription
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
G9902Patient screened for tobacco use and identified as a tobacco user
G9903Patient screened for tobacco use and identified as a tobacco non-user
G9904Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason)
G9905Patient not screened for tobacco use
G9906Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
G9907Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason)
G9908Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
G9909Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason)
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