Physicians and medical coders can now turn to an official document for guidance on coding encounters related to e-cigarette use, covering EVALI, toxicity, dependence and symptoms. You also can look forward to potential new ICD-10 codes related to vaping. The vaping coding guidance, posted Oct. 17, 2019, is authoritative because it is a ...
Oct 17, 2019 · The ICD-10-CM codes provided in the clinical scenarios below are intended to provide e-cigarette, or vaping, product use coding guidance only. Other codes for conditions unrelated to e-cigarette, or vaping products may be required to fully code these scenarios in accordance with the ICD-10-CM Official Guidelines for Coding and Reporting. A hyphen is used …
Apr 02, 2020 · There’s a new code in town! 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. This code is found in the new ICD-10-CM Chapter 22.
Apr 25, 2022 · A dab vape pen is used to vaporize a liquid form of cannabis, also known as concentrates, and U07.0 is the ICD-10 code for vaping marijuana. The CDC is investigating this outbreak of e-cigarette, or vaping, product use-associated lung injury (EVALI). All EVALI patients have reported a history of using e-cigarette, or vaping, products (CDC, 2020).
The purpose of this document is to provide official diagnosis coding guidance for healthcare encounters related to the 2019 health care encounters and deaths related to e-cigarette, or vaping, product use associated lung injury (EVALI). This guidance is consistent with current clinical knowledge about e-cigarette, or vaping, related disorders.
Acute nicotine exposure can be toxic. Children and adults have been poisoned by swallowing, breath ing, or absorbing e-cigarette liquid through their skin or eyes. For these patients assign code:
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. This code is found in the new ICD-10-CM Chapter 22. U07.0 will be in listed in the ICD-10-CM manual under a new section: Provisional assignment of new disease of uncertain etiology or emergency use. When a person uses one of the electronic cigarettes/vape systems the device will heat up and vaporize a liquid to aerosol. The person would then “vape,” puff or inhale through the mouth the vaporized aerosol mist. 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. The electronic cigarettes can contain tetrahydrocannabinol (THC) and cannabinoid (CBD) oils along with other substances, flavorings and additives. 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:
For vaping of nicotine, assign code: F17.29 -Nicotine dependence, other tobacco products.
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, ...
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:
When only acute lung injury is documented without specifying a specific condition, code J68.9 —Unspecified respiratory condition due to chemicals, gases, fumes and vapors would be reported.
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. 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.
A dab vape pen is used to vaporize a liquid form of cannabis, also known as concentrates, and U07.0 is the ICD-10 code for vaping marijuana. The CDC is investigating this outbreak of e-cigarette, or vaping, product use-associated lung injury (EVALI).
Using an e-cigarette product is commonly referred to as “vaping.”.
The CDC explains that e-cigarettes work by heating a liquid to produce an aerosol that users inhale into their lungs ( CDC, 2020). This liquid can contain: nicotine, tetrahydrocannabinol (THC) and cannabinoid (CBD) oils, and other substances and additives. THC is the psychoactive, mind-altering compound of marijuana that produces the “high” ( CDC, 2020). A dab vape pen is used to vaporize a liquid form of cannabis, also known as concentrates, and U07.0 is the ICD-10 code for vaping marijuana.
Previously, ICD-10-CM has not used Chapter 22, but it is being added so the code set is consistent with that of WHO. The new block of codes (U00-U85) are for special purposes, identified as “Provisional assignment of new diseases of uncertain etiology or emergency use” (U00- U49). There is also a note at the chapter level that Codes U00-U49 are to be used by WHO for the provisional assignment of new diseases of uncertain etiology.
Recently a breakthrough occurred that showed that Vitamin E acetate has been identified as a chemical of concern among people with e-cigarette, or vaping, product use-associated lung injury (EVALI).
In a Coding Clinic example regarding a pediatric patient that was wheezing after exposure to e-cigarettes, the advice was to report the codes for wheezing and Z77.29, Contact with and (suspected) exposure to other hazardous substances . I do think that an adverse effect due to inhalation of vapors might be considered also.
Click to expand... Hi Christy, The CDC is currently investigating an outbreak of severe lung disease by those who currently or recently used an e-cigarette products. Yes, you would be correct in selecting a code from J68, however, there is an instructional note that indicates that you are to code first (T51-T65) to identify the cause.
Nicotine dependence, other tobacco product, uncomplicated 1 F17.290 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM F17.290 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of F17.290 - other international versions of ICD-10 F17.290 may differ.
The 2022 edition of ICD-10-CM F17.290 became effective on October 1, 2021.
From an ICD-10-CM perspective, the lipoid pneumonia is assigned J69.1 (Pneumonitis due to inhalation of oils and essences). There is a coding instruction that states to assign (T51-T65) to identify the substance. The diagnosis code for inhalation of THC is T40.7X-; the seventh character would identify poisoning type. The coding professional should also capture the use, abuse, or dependence of the substance that is in the e-cigarette.
The patients are adults aged 18-35. All patients used an electronic vaping pen, with recent use of marijuana oils or concentrates. Three of the five had also used nicotine e-cigarettes, and two of the patients smoked marijuana or traditional cigarettes. The patients reported purchasing tetrahydrocannabinol (THC) vaping cartridges on the street.
The Centers for Disease Control and Prevention (CDC) is currently investigating vaping-related illnesses that have recently been reported. There are 450 confirmed or suspected cases in 33 states. The first death was reported on Aug. 23, 2019, in Illinois. The concern has escalated to the point that the CDC is asking the public to consider not using ...
The Journal goes on to say that e-cigarettes should never be used by youths, young adults, pregnant women, or adults who currently do not use tobacco products. The CDC believes that the chemicals are the culprit, but the investigation is ongoing.
The New England Journal of Medicine is suggesting that doctors should discourage their patients from vaping. If adult smokers are trying to quit smoking, they should consult with their healthcare provider and use proven treatments.
The Food and Drug Administration (FDA) has issued a warning regarding a specific danger for people who vape THC. A review of samples of vaping fluids used by the sick patients revealed THC and vitamin E acetate.