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Code: Z87.891
Personal history of nicotine dependence
Excludes 1: current nicotine dependence (F17.2-)
Parent Code Notes: Z87.8
Excludes2: personal history of self harm (Z91.5)
Parent Code Notes: Z87
Code first any follow-up examination after treatment (Z09)

Block Notes
Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
Code also any follow-up examination (Z08-Z09)

Coding Guidelines
Factors influencing health status and contact with health services (Z00-Z99)
Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
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If a patient comes in with history of smoking do we use the diagnosis Z87.891 with F17.211. If we don't use F17.211 what are the guidelines for using this code because obviously it's for a past smoker who is in remission which is confusing with past history of smoking Z87.891. We have a coder coding both for both of the above codes and I need to get this cleared up fast.

Thanks and have a Merry Christmas
 
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