ICD-10 Coding for Smoking History(F17.210, Z87.891)
Complete ICD-10-CM coding and documentation guide for Smoking History. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Smoking History
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 for patients currently dependent on cigarettes. |
|
| Z87.891 | Personal history of nicotine dependence | Use for patients with a history of nicotine dependence that is resolved. |
|
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 smoking history
Essential facts and insights about Smoking History
Primary ICD-10-CM Codes for smoking history
Decision Criteria
clinical Criteria
- Presence of withdrawal symptoms or failed quit attempts.
Applicable To
- Current cigarette smoker with dependence
Excludes
- History of nicotine dependence (Z87.891)
Clinical Validation Requirements
- Documented cigarette use with symptoms of dependence such as withdrawal or cravings.
Code-Specific Risks
- Incorrectly coding for past smokers.
Coding Notes
- Ensure documentation specifies current dependence.
Z87.891 - Personal history of nicotine dependence
Use for patients with a history of nicotine dependence that is resolved.
Applicable To
- Resolved nicotine dependence
Excludes
- Current nicotine dependence (F17.2-)
Clinical Validation Requirements
- Documented cessation date and absence of dependence symptoms.
Coding Notes
Ensure documentation clearly states cessation and no current use.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Smoking History to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F17.210.
Impact
Clinical: Leads to inadequate patient care planning., Regulatory: Fails to meet documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Use specific terms like '1 pack per day smoker'.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use F17.2- codes for current dependence.
Impact
Using Z87.891 for current smokers.
Mitigation Strategy
Regular training on code differentiation.
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 Smoking History, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Smoking History
Use these documentation templates to ensure complete and accurate documentation for Smoking History. These templates include all required elements for proper coding and billing.
Current Smoker with COPD
Specialty: PulmonologyRequired Elements
- Product type
- Quantity and duration
- Symptoms of dependence
- Associated conditions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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