Hi Annamlupp,
Blacks and mild type of cigar is worse than cigarettes. I d use dx F17.29 since states other tobacco products (cigars) . Ensure proper documentation for tobacco-use cessation counseling should include the t
otal time spent face to face with the patient, and what was discussed. The patient’s desire or need to quit tobacco use, cessation techniques and resources, estimated quit date, and planned follow up should be noted within the patient’s medical record. Without this information, medical necessity for coverage may be questioned, which could result in denied or delayed payment. Without documentation of significant and separately identifiable work, the payment for smoking cessation counseling may be included in the payment for the primary E/M service. Examples of incomplete documentation: “I have counseled the patient again to quit smoking. The patient verbalized understanding, but is not ready to quit smoking.” “>3 minutes spent counseling patient on tobacco use.” Reference
https://www.aapc.com/blog/35703-get-paid-for-smoking-cessation/ AAPC Knowledge Center AAPC July 2016
Ahh hope this data helps you.
Lady T