Identifying Tobacco Users

Providers play a key role in decreasing tobacco use by incorporating tobacco use identification and documentation into practice.

Providers should ask about tobacco use at the first visit, annually, and at any relevant visit.

  • The American Academy of Pediatrics recommends using The CRAFFT+N Questionnaire as a validated tool to screen patients, ages 12 to 21, for smoking and tobacco use.
  • If you identify a tobacco user, make sure to document Smoking or Tobacco Status on the patient’s problem list.
  • Use relevant ICD-10 codes related to nicotine dependence such as: F17.2XX, Z87.891.

Note: If you are eligible for HPSM’s Benchmark Pay-for-Performance (P4P) program, you can help us identify tobacco users and track your performance in quality measure “TBC” through HPSM’s monthly eReports. Clinics assigned to the Medi-Cal Pediatrics track are eligible to get P4P payments for screening pediatric members 12 and older for tobacco use using the tools listed above and providing counseling to those who use tobacco.