Name of the Procedure:

Patient Screened for Tobacco Use and Identified as a Tobacco Non-User (HCPCS Code: G9903)

Summary

This is a quick assessment carried out during a medical visit to determine if a patient uses tobacco products. If the patient does not use tobacco, they are identified and documented as a non-user.

Purpose

The primary purpose of this screening procedure is to assess a patient's tobacco use status to tailor personalized healthcare recommendations and interventions. Identifying a patient as a tobacco non-user helps in ensuring that unnecessary tobacco cessation interventions are not administered.

Indications

• Routine health assessments.
• Wellness check-ups.
• Situations where tobacco use status impacts medical decisions or treatment plans.

Preparation

• No specific preparation is needed.
• Patients may be asked verbal questions or fill out a brief questionnaire regarding their tobacco use history.

Procedure Description

1. A healthcare provider asks the patient about their tobacco use status during a routine check-up or medical visit.
2. The patient responds to questions regarding their use of tobacco products.
3. If the patient confirms they do not use tobacco, the provider documents this status in the patient’s medical record.

Tools and Equipment

• Questionnaire forms or electronic health record (EHR) systems where the status is documented.

Anesthesia or Sedation

• Not applicable.

Duration

The screening typically takes only a few minutes to complete.

Setting

• Performed in various healthcare settings such as hospitals, outpatient clinics, primary care offices, and during routine wellness visits.

Personnel

• Conducted by healthcare professionals such as doctors, nurses, or trained medical assistants.

Risks and Complications

• No inherent risks or complications associated with the screening process itself.
• Accurate patient self-reporting is essential for valid results.

Benefits

• It helps in providing a clear picture of the patient’s health status.
• Leads to accurate medical records and appropriate care without unnecessary interventions.
• Supports overall healthcare quality and personalized treatment planning.

Recovery

• No recovery time is necessary as this is a non-invasive assessment.

Alternatives

• There are no alternative procedures for screening tobacco use; however, this can be part of broader health assessments that include other health behavior screenings.

Patient Experience

• Patients should expect this to be a straightforward and quick inquiry.
• No discomfort is involved.
• Clear communication about the significance of accurate information is essential for effective screening.

By accurately determining and documenting the absence of tobacco use, the healthcare provider can ensure that the patient receives appropriate care tailored to their specific needs.