(CSAC) was convened to discuss a diagnosis code for vaping related illness for immediate use. As a result of this meeting, a new International Classification of Diseases, Tenth Revision (ICD-10) emergency code has been established by WHO. The code became valid for immediate use as of September 24, 2019. U07.0, Vaping-related disorder
Personal history of nicotine dependence. Z87.891 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z87.891 became effective on October 1, 2018.
“If the physician states that the patient is a smoker using e-cigarettes, the ICD-10-CM Index allows the reporting of an ICD-10-CM code from subcategory F17.29- [nicotine dependence, other tobacco product] for the use of e-cigarettes containing nicotine. This, however, does not apply to other substances,” she said.
To report nicotine or cannabis use, abuse, or dependence documented in the medical record, you should follow ICD-10 Official Guidelines, Section I.C.5.b.2, regarding which code to choose. The supplement includes this hierarchy, as well. Hierarchy for ICD-10-CM reporting of documented use, abuse, dependence (single substance)
ICD-10 code Z87. 891 for Personal history of nicotine dependence is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Effective with 4/1/2020 discharges, ICD-10-CM code U07. 0 is used to report vaping -related disorders. ICD-10-CM code U07. 0 (vaping related disorder) should be used when documentation supports that the patient has a lung-related disorder from vaping.
Nicotine dependence, cigarettes, in remission The 2022 edition of ICD-10-CM F17. 211 became effective on October 1, 2021.
The supplement offers guidance on how to code patients with the following: Documented e-cigarette, or vaping, product use associated lung injury. Assign a code for the specific condition, such as J68. 0, Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors, includes chemical pneumonitis; J69.
Z72. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
F17. 211 Nicotine dependence, cigarettes, in remission.
Nicotine dependence, unspecified, uncomplicated F17. 200 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM F17. 200 became effective on October 1, 2021.
ICD-10 code F17. 200 for Nicotine dependence, unspecified, uncomplicated is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
F17. 210 Nicotine dependence, cigarettes, uncomplicated - ICD-10-CM Diagnosis Codes.
KMA Resource Guide.ICD-10 Coding for Tobacco Use/Abuse/Dependence.Category F17.21 is used to identify nicotine.dependence with cigarettes.Category F17.22 is used to identify nicotine.dependence with chewing tobacco.Category F17.29 is used to identify nicotine.dependence with other tobacco products.
Updates that are set to take effect October 1st, 2020 include: 490 new codes, 47 revised codes and 58 deleted or invalid codes.
Preventing EVALI The best way to prevent EVALI is to avoid vaping products, according to public health organizations. The U.S. Food and Drug Administration and the CDC recommend that people avoid using any vape products containing THC.
If the medical record shows an acute lung injury, but does not provide a more specific condition like bronchitis, pneumonitis or the other examples in the code list above, then the supplement instructs you to use unspecified code J68.9 Unspecified respiratory condition due to chemicals, gases, fumes, and vapors.
Thousands of cases of e-cigarette, or vaping, product use associated lung injury (EVALI) have been reported from across the U.S. to the Centers for Disease Control and Prevention.
The supplement was approved by the four Cooperating Parties for ICD-10: the National Center for Health Statistics, the American Health Information Management Association, the American Hospital Association, and the Centers for Medicare and Medicaid Services.
EVALI is not the only reason you may see a patient in relation to e-cigarettes or vaping. Toxicity from acute nicotine exposure is another issue that physicians have encountered. For instance, patients may have swallowed or breathed in e-cigarette liquid. Absorption through the skin or eyes is also possible.
Vaping Related Lung Disorders and Conditions: Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors; includes chemical pneumonitis (J68.0) Pneumonitis due to inhalation of oils and essences; includes lipoid pneumonia (J69.1) When only acute lung injury is documented without specifying a specific condition, ...
If a patient is poisoned or has nicotine or other substance toxicity, coders would report the appropriate “T” code to show that this was an accidental toxic effect of the substance. Substance use, abuse and dependence should also be reported as additional codes.
There have been 68 confirmed deaths in the U.S. due to vaping-related lung injuries (as of 2/25/2020) There have been 2,807 patients hospitalized for vaping-related lung injury (as of 2/18/2020) More than 6 million American middle and high school students used some type of tobacco product last year.
Physicians may document “dabbing related lung damage,” vaping or any of the terms listed above to document the condition caused by the inhalation of nicotine or other substance as stated above. Below are some of the diagnoses that have been documented to be associated with patient’s vaping/use of e-cigarettes:
The aerosol/vapor that is produced in the e-cigarette is not a harmless water vapor. The aerosol/vapor can cause inflammations in the mouth.
The aerosol/vapor can cause inflammations in the mouth. A smoker’s cough can be obtained via vaping. Most e-cigarettes contain nicotine. Even the ones that state are nicotine free have been found to have nicotine in them. E-cigarettes can be used to deliver marijuana and/or other drugs.
Vaping is also documented as e-cigarette, vapes, e-hookahs, vape pens, tank systems, mods, and electronic nicotine delivery systems (ENDS) by some documenting physicians. Nicotine is not the only substance that is being inhaled. There are other chemicals in the liquid to help this turn to an aerosol.
Virgin Islands, and 18 people have died from vaping-related respiratory illness. Review their findings here.
As part of an ongoing investigation, the FDA’s Center for Tobacco Products has collected more than 150 vaping product samples to test for chemicals, including painkillers, additives, pesticides, poisons, and toxins.
Researchers at the CDC suspect that reported cases of vaping-related illness are due to chemical exposure rather than infection; metals from the vaping coils can also be involved, as postulated in the NEJM article.
As of October 1, 2019, 1080 cases of respiratory illnesses and 18 deaths brought on by vaping have been reported in the U.S., according to the U.S. Centers for Disease Control and Prevention (CDC). Despite continued research into these cases by the CDC and the U.S. Food and Drug Administration ...
J69.1, pneumonitis due to inhalation of oils and essences (exogenous lipoid pneumonia. J84.89, other specified interstitial pulmonary diseases. J68.0, bronchitis and pneumonitis due to chemicals, gases, fumes and vapors. J68.1, pulmonary edema due to chemicals, gases, fumes and vapors.
Electronic cigarettes, more commonly referred to as e-cigarettes, are battery-powered devices that heat tetrahydrocannabinol (THC), nicotine, and other chemicals, and turn them into a vapor that can be inhaled. The use of an e-cigarette product is called vaping.
Because e-cigarettes don’t contain tobacco, the vapor they produce has been thought to be less harmful than conventional cigarette smoke. When these products were first approved for use in the U.S. in 2007, they were marketed as a healthier alternative to smoking that could help smokers quit.
Now the funny thing is that there is no status code for use of cannabis. It's a diagnosis code (F12.90) so you have to make sure that the diagnosis of cannabis use is well documented before you code out.
Z72.0 is for use of tobacco. It does not matter which route, i.e., cigarettes vs cigar vs E-cig. Per coding guidelines, only use dependence codes (F17.-) when documentation explicitly indicates dependence.