UM Guidelines
Smoking Cessation

Ambulatory Care (AC)

BCBST last reviewed December 16, 2015*

Added: Behavioral Management and Counseling:
  • Services for behavioral management and counseling are appropriate for 2 cession attempts per year for individuals who are competent and who are alert at the time that the services are provided.
    • Each cession attempt may include a maximum of 4 intermediate sessions (more than 3 minutes) or intensive sessions (more than 10 minutes), with the total number of visits up to 8 sessions in a 12 month period.


  1. Agency for Healthcare Research and Quality (2011, October). The guide to clinical preventative services, 2012. Retrieved September 12, 2012 from
  2. BlueCross BlueShield of Tennessee network physicians. September - December 2015.
  3. Centers for Medicare & Medicaid Services. CMS.gov. NCD for smoking and tobacco‐use cessation counseling (210.4). Retrieved August 11, 2015 from https://www.cms.gov/medicare‐coveragedatabase/details/ncddetails.aspx?NCDId=308&ncdver=1&DocID=210.4&bc=gAAAAAgAAAAAAA%3d%3d&.
  4. U.S. Preventative Services Task Force. (2010, December). Recommendations: Counseling to prevent tobacco use and tobacco‐caused disease. Retrieved September 12, 2012 from http://www.uspreventiveservicestaskforce.org/3rduspstf/tobacccoun/tobcounrs.pdf.



Download Acrobat Reader