Name of the Procedure:

Patient Screened for Tobacco Use and Identified as a Tobacco User (G9902)

Summary

This procedure involves screening a patient to determine if they use any form of tobacco. Upon identification as a tobacco user, the patient may be offered resources and interventions to help quit tobacco use.

Purpose

The main goal is to identify tobacco users among patients so that appropriate counseling and treatment can be provided to reduce the associated health risks, such as heart disease, stroke, and lung cancer.

Indications

• Patients with a history of smoking or tobacco use
• Patients presenting symptoms associated with tobacco use (e.g., chronic cough, shortness of breath)
• Routine health screenings in adults

Preparation

• No special preparation required for the screening
• Patients may be asked about their tobacco use history as part of routine health assessments

Procedure Description

1. The healthcare provider asks the patient about their tobacco use, including type, frequency, and duration.
2. Documentation of tobacco use status is entered into the patient's medical records.
3. If identified as a tobacco user, the patient is provided with information and resources for quitting, such as counseling, nicotine replacement therapy, or prescription medications.

Duration

The screening typically takes a few minutes as part of a regular consultation or health assessment.

Setting

This procedure is generally performed in various healthcare settings, including primary care offices, outpatient clinics, or during hospital visits.

Personnel

• Primary care physicians
• Nurses
• Physician assistants

Risks and Complications

• There are no medical risks or complications associated with the screening itself.
• Potential psychological discomfort or stigma associated with discussing tobacco use.

Benefits

• Early identification of tobacco use
• Opportunity for timely intervention and support to quit smoking
• Reduction in risk factors for serious health conditions

Recovery

• No recovery time required
• Immediate advising or referral for tobacco cessation programs if necessary

Alternatives

• Self-reporting through questionnaires or healthcare apps
• Biochemical verification using tests like carbon monoxide breath tests, but these are generally not routine and more invasive

Patient Experience

Patients might feel a range of emotions when discussing their tobacco use, from relief at having support to anxiety about the stigma associated with smoking. Comfort measures include a non-judgmental attitude from healthcare providers and offering compassionate support resources.

By presenting the information in this format, healthcare providers and patients can have a clear and organized understanding of the procedure, its purpose, and the steps involved.