ICD-10 Coding for Smoker(F17.210, F17.218)
Complete ICD-10-CM coding and documentation guide for Smoker. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Smoker
F17.2Primary Range
Nicotine dependence
This range covers all forms of nicotine dependence, including cigarettes, chewing tobacco, and vaping.
Contact with and (suspected) exposure to environmental tobacco smoke
Used for documenting exposure to secondhand smoke.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F17.210 | Nicotine dependence, cigarettes, uncomplicated | Use when there is documented nicotine dependence on cigarettes without complications. |
|
| F17.218 | Nicotine dependence, cigarettes, with other nicotine-induced disorders | Use when nicotine dependence results in a specific disorder. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for smoker
Essential facts and insights about Smoker
Primary ICD-10-CM Codes for smoker
Decision Criteria
clinical Criteria
- Patient exhibits signs of nicotine dependence such as withdrawal symptoms.
documentation Criteria
- Detailed history of cigarette use is documented.
Applicable To
- Cigarette smoking
- Nicotine addiction
Excludes
- Tobacco use without dependence (Z72.0)
Clinical Validation Requirements
- Patient reports smoking 1 pack/day for 15 years
- Documented withdrawal symptoms
Code-Specific Risks
- Misclassification if dependence is not clearly documented
Coding Notes
- Ensure documentation specifies the type of tobacco product and usage pattern.
F17.218 - Nicotine dependence, cigarettes, with other nicotine-induced disorders
Use when nicotine dependence results in a specific disorder.
Applicable To
- Nicotine-induced disorders
Excludes
- Nicotine dependence, uncomplicated (F17.210)
Clinical Validation Requirements
- Documented causal relationship between smoking and disorder (e.g., bronchospasms)
Coding Notes
Ensure the disorder is documented as caused by nicotine dependence.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Contact with and (suspected) exposure to environmental tobacco smoke
Z77.22Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Smoker to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F17.210.
Impact
Clinical: Missed opportunities for intervention., Regulatory: Non-compliance with quality measures., Financial: Potential loss of reimbursement for counseling services.
Mitigation Strategy
Use templates to ensure complete documentation, Regular training on documentation standards
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use F17.2 codes for dependence.
Impact
Frequent use of unspecified codes can trigger audits.
Mitigation Strategy
Ensure detailed documentation to support specific code selection.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Smoker, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Smoker
Use these documentation templates to ensure complete and accurate documentation for Smoker. These templates include all required elements for proper coding and billing.
Primary care visit for smoker
Specialty: Family MedicineRequired Elements
- Type of tobacco product
- Usage pattern and history
- Cessation attempts and methods
- Related symptoms or disorders
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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