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Documentation of medical reason(s) for not providing tobacco cessation intervention (e.g., limited life expectancy, other medical reason)

HCPCS code

Name of the Procedure:

Documentation of medical reason(s) for not providing tobacco cessation intervention (G9907)
Common name(s): Tobacco Cessation Intervention Documentation
Technical term: HCPCS Code G9907 Documentation

Summary

This process involves documenting valid medical reasons for not providing tobacco cessation interventions to patients who use tobacco. These reasons may include limited life expectancy or other significant medical factors that make cessation efforts inappropriate or unnecessary.

Purpose

The procedure addresses situations where attempting tobacco cessation may not be beneficial due to overriding medical conditions. The goal is to ensure accurate medical records and appropriate patient care by acknowledging the reasons for not pursuing tobacco cessation.

Indications

  • Patients with a limited life expectancy
  • Patients with serious medical conditions that contraindicate tobacco cessation
  • Instances where the intervention may do more harm than good

Preparation

  • Review patient's medical history
  • Conduct necessary assessments to determine the appropriateness of tobacco cessation
  • No specific patient preparation is required

Procedure Description

  1. The healthcare provider reviews the patient’s medical condition.
  2. Reasons for not providing tobacco cessation interventions are identified.
  3. These reasons are clearly documented in the patient's medical records.
  4. The documentation is categorized under HCPCS Code G9907.
  5. The patient is informed of the decision and provided with an explanation.

Tools/Equipment: Medical records system, assessment tools
Anesthesia/Sedation: Not applicable

Duration

Typically takes 10-15 minutes.

Setting

Performed in various settings, including hospitals, outpatient clinics, and doctors' offices.

Personnel

Usually performed by:

  • Primary Care Physicians
  • Nurses
  • Medical Assistants

Risks and Complications

There are no significant risks or complications associated with the documentation process itself.

Benefits

  • Ensures accurate and comprehensive medical records
  • Guides appropriate patient care
  • Avoids unnecessary or potentially harmful interventions

Recovery

No recovery required as this is a documentation process.

Alternatives

The primary alternative is providing tobacco cessation interventions, which include:

  • Behavioral therapy
  • Medications
  • Combination therapy These alternatives are considered based on the patient's overall health status.

Patient Experience

Patients may experience relief from understanding the reasoning behind not pursuing tobacco cessation if it's medically warranted. Pain is not associated with this documentation process. Comfort measures include clear communication and supportive care.

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