Wiki ICD 10 coding for vaping

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imcbmcc

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Advice needed for coding vaping injuries. The pulmonologist that I work with just wants to use J68.9 and I feel that an injury code, toxic effect, should also be coded. Any advice?


Thank you so much!


Christy McCarthy CPC
 
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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.
 
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Cynthia Hughes said:
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.
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Agree as well, Code J68.9 seems to cover the whole aspect of whats going on. Wouldn't use a T code in my opinion.
 
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Munzueta said:
Agree as well, Code J68.9 seems to cover the whole aspect of whats going on. Wouldn't use a T code in my opinion.
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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. I would recommend that you look at a code from T59.8- or T59.9- category.
 
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