UM Guidelines
Smoking Cessation

Ambulatory Care (AC) OTG: C-16

BCBST modification effective December 10, 2013*

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.
 

References

  1. Agency for Healthcare Research and Quality (2011, October). The guide to clinical preventative services, 2012. Retrieved September 12, 2012 from
    http://www.ahrq.gov/professionals/clinicians-providers/guidelinesrecommendations/guide/index.html.
  2. BlueCross BlueShield of Tennessee network physicians. September - December 2013.
  3. Complete Guide to Medicare Coverage Issues [Computer software]. (2013, July). Smoking and tobacco-use cessation counseling (NCD 210.4, p. 2-170). Ingenix.
  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.