With the implementation of ICD-10, nicotine dependence (Category F17) has 20 codes that are broken up to identify the specific tobacco product used – unspecified, cigarettes, chewing tobacco and other tobacco products. This KMA Resource Guide provides additional detail on important changes related to coding tobacco use, abuse and dependence.
Tobacco use. ICD-10-CM Diagnosis Code Z77.22 Merkel cell carcinoma of lip ( C4A.0) Kaposi's sarcoma of palate ( C46.2) Kaposi's sarcoma of lung ( C46.5-) ICD-10-CM Diagnosis Code D00.0 Diagnosis Index entries containing back-references to Z72.0:
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.
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)
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.
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 .
2022 ICD-10-CM Diagnosis Code F17: Nicotine dependence.
Nicotine dependence, cigarettesF17. 210 Nicotine dependence, cigarettes, uncomplicated - ICD-10-CM Diagnosis Codes.
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 .
ICD-10 code G89. 29 for Other chronic pain is a medical classification as listed by WHO under the range - Diseases of the nervous system .
ICD-10 Codes for Long-term TherapiesCodeLong-term (current) use ofZ79.84oral hypoglycemic drugsZ79.891opiate analgesicZ79.899other drug therapy21 more rows•Aug 15, 2017
ICD-10 code Z79. 899 for Other long term (current) drug therapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Code Z23, which is used to identify encounters for inoculations and vaccinations, indicates that a patient is being seen to receive a prophylactic inoculation against a disease. If the immunization is given during a routine preventive health care examination, Code Z23 would be a secondary code.
Z81.2 is a billable ICD code used to specify a diagnosis of family history of tobacco abuse and dependence. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis. The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Z81.2 and a single ICD9 code, V19.8 is an approximate match for comparison and conversion purposes.
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.
Yes, and if you look under the term Tobacco, the second selection is Harmful Use, Z72.0 which further supports my personal thinking that Harmful Use can be the social/occassional smoker.