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(1) Beneficiary Consent Consistent with other care management services, we are proposing that the beneficiary's consent to receive APCM services must be documented in the medical record as a condition of payment for APCM services, as not all Medicare beneficiaries for whom APCM services would be medically necessary may want to receive these services

The NFHS provides data on health and family welfare indicators, including tobacco use among men and women aged 15-49

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PMID 18501010

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The American Lung Association provides the following guidance on the use of the Z codes: Z57.31 Occupational exposure to environmental tobacco smoke (may not be used with Z77.22 exposure to environmental smoke) Z77.22 Contact with and suspected exposure to environmental smoke (may not be used with a F17.2 tobacco dependence or Z72 tobacco use code) Z71.6 Counseling and medical advice tobacco abuse counseling Z72.0 Problems related to lifestyle and tobacco use not otherwise specified Z87.891 Personal history of nicotine dependence (may not be used with F17.2 current nicotine dependence code) Z13.89 Encounter for screening for other disorder