They note that the term "smoker" in the ICD-10 alpha index directs you to " nicotine dependence", not to "tobacco use". This was reinforced in two test questions within the 3M Training which indicated documentation of "cigarette smoking" is coded as "nicotine dependence", even if the provider doesn't refer to it as such.
Diagnosis Index entries containing back-references to F17.200: Dependence (on) (syndrome) F19.20 ICD-10-CM Diagnosis Code F19.20 Disorder (of) - see also Disease tobacco use moderate F17.200 Tabacism, tabacosis, tabagism - see also Poisoning, tobacco meaning dependence (without remission) F17.200
In ICD-10, the term, “smoker” directs you to “see dependence, drug, nicotine,” rather than “use.” Ultimately, you must read the documentation carefully to determine whether the physician has determined that the patient is nicotine-dependent.
If a patient uses a tobacco/nicotine product everyday, they are dependent and therefore the F17 code category is used. Anybody have additional thoughts on this ? Thanks. BenCrocker, yes, I agree on your statement that if only Use is documented than code it as Z72.0
tobacco use (smoking) during pregnancy, childbirth and the puerperium ICD-10-CM Diagnosis Code O99.33 Tobacco use disorder complicating pregnancy, childbirth, and the puerperium
Physicians diagnose dependence based on specific criteria (see DSM-V). Dependence should be reported when that is the physician's documented diagnosis. Tobacco use would be reported when use is documented but not dependence.
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.
Nicotine Dependence is recognized as a medical condition in the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association [1–3], and Tobacco Dependence is recognized in the International Classification of Diseases [4, 5].
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 .
Nicotine dependence codes are further defined by whether the patient's dependence is uncomplicated, in remission, with withdrawal symptoms, or with other nicotine-induced disorders. Box 2 provides useful definitions on these subcategories of dependence.
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 .
Nicotine addiction is now referred to as tobacco use disorder in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
Nicotine dependence must be routinely diagnosed and treated appropriately. Smokers are not a uniform group and they can be differentiated according to their level of dependence. One of the most important diagnostic tests is the Fagerström Test for Nicotine Dependence (FTND)[12].
Nicotine dependence occurs when you need nicotine and can't stop using it. Nicotine is the chemical in tobacco that makes it hard to quit. Nicotine produces pleasing effects in your brain, but these effects are temporary. So you reach for another cigarette. The more you smoke, the more nicotine you need to feel good.
Previously called a “regular smoker”. Former smoker: An adult who has smoked at least 100 cigarettes in his or her lifetime but who had quit smoking at the time of interview. Never smoker: An adult who has never smoked, or who has smoked less than 100 cigarettes in his or her lifetime.
F17. 211 Nicotine dependence, cigarettes, in remission.
Nicotine dependence, cigarettes, with withdrawal 1 F01-F99#N#2021 ICD-10-CM Range F01-F99#N#Mental, Behavioral and Neurodevelopmental disorders#N#Includes#N#disorders of psychological development#N#Type 2 Excludes#N#symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified ( R00-R99)#N#Mental, Behavioral and Neurodevelopmental disorders 2 F17#N#ICD-10-CM Diagnosis Code F17#N#Nicotine dependence#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Type 1 Excludes#N#history of tobacco dependence ( Z87.891)#N#tobacco use NOS ( Z72.0)#N#Type 2 Excludes#N#tobacco use (smoking) during pregnancy, childbirth and the puerperium ( O99.33-)#N#toxic effect of nicotine ( T65.2-)#N#Nicotine dependence
The 2022 edition of ICD-10-CM F17.213 became effective on October 1, 2021.