Smoking Coding Guidance

Assess Status

Status / Definition
1371 Never smoked tobacco / Has never smoked
137S. Ex smoker / Stopped smoking >12 months ago
137R.Current smoker / Still smoking
9hG0 Excepted from smoking quality indicators: Patient unsuitable / Meets QOF exception coding criteria – patient unsuitable
9hG1 Excepted from smoking quality indicators: Informed dissent / Meets QOF exception coding criteria – informed dissent
Status / Definition
137L. Current non-smoker / If a patient is an ex-smoker but quit < 1 year ago please also record as current non-smoker
1PC.. e cigarette user / If patient uses e cigarettes

Cigarette Consumption

Status / Action
137M. Rolls own cigarettes / Please use cigarette equivalent calculator to establish consumption.
Record consumption
137J. Cigar smoker / Please use cigarette equivalent calculator to establish consumption.
Record consumption
137H. Pipe smoker / Please use cigarette equivalent calculator to establish consumption.
Record consumption
137P. Cigarette smoker / Record consumption
Status / Action
137X. Cigarette consumption / Please record number of cigarettes (or equivalent) as extension to code

Goal Setting and Referral

Smoking

Preferred READ Code / Definition / Action
8H7i. Referral to smoking cessation advisor / Offered referral to Smoking Cessation Advisor / If patient smokes within an hour of wakening they are best suited to intensive support from local advisor as opposed to pharmacy brief intervention
8HTK. Referral to stop-smoking clinic / Offered referral to Smoke Free Pharmacy Service / If patient wishes to make changes now but smoking Cessation Advisor not appropriate offer referral to pharmacy service
Preferred READ Code / Definition
9001. Attends stop smoking monitor / Patient accepts referral to Smoke Free Service
9002. Refuses stop smoking monitor / Patient declines referral to Smoke Free Service

Advice

Preferred READ Code / Definition / Action
8CAL. Smoking cessation advice / Offered relevant information / If patient not ready to stop smoking or does not wish referral offer “Want to Stop Smoking?” leaflet.