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).
Oct 01, 2021 · Cannabis use, unspecified, uncomplicated. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. F12.90 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 F12.90 became effective on October 1, 2021.
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 ...
Dec 03, 2019 · When a patient develops a physical, mental, or behavioral consequence after vaping THC and the physician explicitly documents that the THC caused the sickness, the coder may report a code from ICD-10-CM subcategory T40.7X1- (poisoning by, adverse effect of and underdosing of cannabis [derivatives], accidental); the seventh character would identify the …
Mental and Behavioral Disorders due to... | Code1 |
---|---|
...use of opioids | F11 |
...use of cannabis | F12 |
...use of sedatives, hypnotics, anxiolytics | F13 |
...use of cocaine | F14 |
ICD-10 Codes for Long-term Therapies | |
---|---|
Code | Long-term (current) use of |
Z79.84 | oral hypoglycemic drugs |
Z79.891 | opiate analgesic |
Z79.899 | other drug therapy |
Cannabis use, unspecified, uncomplicated 1 F12.90 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 F12.90 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of F12.90 - other international versions of ICD-10 F12.90 may differ.
The 2022 edition of ICD-10-CM F12.90 became effective on October 1, 2021.
It also reveals that “new codes that are intended to address additional detail regarding use of e-cigarette, or vaping, products will be presented at the March 2020 ICD-10 Coordination and Maintenance Committee Meeting .” If the new codes are adopted, watch for changes to the vaping coding guidelines, as well.
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.
M anifestation– What are the signs and symptoms indicative of a vaping-induced illness? These could be dyspnea, hemoptysis, pleuritic chest pain, other chest pain, hypoxemia, fever, leukocytosis, or others.
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 ...
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.
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.
Virgin Islands, and 18 people have died from vaping-related respiratory illness. Review their findings here.
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.
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.
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.
If use, abuse, and dependence are documented, assign only the code for dependence (F17.29- Nicotine dependence, other tobacco product. A sixth digit is required.).
A seventh digit is required.
A seventh digit is required. For patients with documented substance use, abuse, and/or dependence, additional codes identifying the substances used should be assigned, as such: If both use and abuse are documented, assign only the code for abuse. If both abuse and dependence are documented, assign only the code for dependence.
Official diagnosis coding guidance for 2019 healthcare encounters and deaths associated with e-cigarette, or vaping, product use associated lung injury (EVALI) was released Oct. 17.
For patients documented with EVALI, assign the code for the specific condition.#N#For patients with acute lung injury, but without further documentation identifying a specific condition, assign code J68.9 Unspecified respiratory condition due to chemicals, gases, fumes and vapors.#N#For children and adults who have been poisoned by swallowing, breathing, or absorbing-cigarette liquid through their skin or eyes, assign T65.291- Toxic effect of other tobacco and nicotine, accidental (unintentional), which includes toxic effect of other tobacco and nicotine NOS. A seventh digit is required.#N#For a patient diagnosed with acute tetrahydrocannabinal (THC) toxicity, assign code T40.7X1- Poisoning by cannabis (derivatives), accidental (unintentional). A seventh digit is required.#N#For patients with documented substance use, abuse, and/or dependence, additional codes identifying the substances used should be assigned, as such: