You code of course when documented by the physician . When working at the cancer center we were cautioned to use this code only when the physician documented a smoking habit like "pt smokes x packes per day", or "pt has an x pack year habit", they stated that just saying the patient smokes was not sufficient for the 305.1. Also you would use it defienitly when the smoking is a complicating factor, such as pts with problems needing surgery, since smoking tends to delay healing, or pts with pulmonary problems like asthma or heart conditions like CHF.
I hope this gives you what you were looking for.
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