UM Guidelines
Smoking Cessation

Ambulatory Care (AC) OTG: C-16

BCBST modification December 16, 2011*
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 (2009). The guide to clinical preventative services. Retrieved September 21, 2009 from http://www.ahrq.gov/clinic/pocketgd1011/gcp10s1.htm#ref30.
  2. Agency for Healthcare Research and Quality. (2010, September). Treating tobacco use and dependency: 2008 update. Retrieved August 30, 2011 from http://www.ahrq.gov/path/tobacco.htm#Clinic.
  3. BlueCross BlueShield of Tennessee network physicians. September - December 2011.
  4. Complete Guide to Medicare Coverage Issues [Computer software]. (2011,August). Smoking and Tobacco-Use Cessation Counseling (NCD 210.4, p. 2-167). Ingenix.