When you have patients who use any form of tobacco, ask them if they have an interest in quitting, and if so, would they like some help. Have those who are interested fill out the Tobacco Use Assessment Form.
On the reverse side of the Tobacco Use Assessment Form, follow the outline so that you Ask, Advise, Assess, Assist, and Arrange for follow-up to encourage and support your patients in their attempts to quit.
A valuable program available in Minnesota is the Minnesota Tobacco Quitlines. Ask your patients if they are willing to have a Quitline tobacco cessation coach call them to discuss quit strategies and help them with a quit plan. If they are interested, have them fill out the Minnesota Tobacco Quitlines Fax Form (forms should be ordered in advance here). You will fax the form to the Quitline and then get the results of the coaching back to you for documentation in the patient’s progress notes.
If they are interested in other quit smoking (tobacco) support programs give them the sheet that lists these programs.
Be sure to follow-up with your tobacco using patients who are interested in quitting. Your continued encouragement and support are important.
In the patient's chart progress notes record "tobacco cessation discussed," and include any relevant details related to the course of action.
The ADA Code number for tobacco counseling for the control and prevention of oral disease is #D1320. The detailed description for this code is: “Tobacco prevention and cessation services reduce patient risks of developing tobacco related oral diseases and conditions and improves prognosis for certain dental therapies”.