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ICD10 smoking codes

  1. #1
    Location
    Richmond Virginia
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    Default ICD10 smoking codes
    Medical Coding Books
    Are smoking codes to be used on every record where the status is documented?

  2. #2
    Location
    Columbia, MO
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    Default
    In most cases yes. Especial with the J codes. Look at the J chapter notes.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    Quote Originally Posted by mitchellde View Post
    In most cases yes. Especial with the J codes. Look at the J chapter notes.
    What about a ICD10 code for a non-smoker? There's no history as a smoker. I was not able to find one.

  4. #4
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    Yes there is a code ..try Z87.891

    Debra A. Mitchell, MSPH, CPC-H

  5. Default
    Z87.891 is a history of smoking. what do we use if they have NO history of smoking

  6. #6
    Default
    No, there is not a code in ICD-10 for patients who have NEVER smoked. When that happens do not put anything on the claim (there's no code to report)

    Respiratory codes (Jcodes) are one set of codes that require smoking codes to be reported if the patient is a smoker, exposed to smoke or history of smoking. If the patient has asthma (for example) and they smoke cigarettes you would report the appropriate J code for asthma and F17.210 Nicotine dependence, cigarettes, uncomplicated.

    If the patient has asthma, but doesn't have any smoking history or exposure, simply report the appropriate J code for the asthma.

  7. Default AWilliams
    For I25-CAD codes, is it more important to post the smoking code secondary to the CAD or the more significant cardiac codes treated on the visit and the smoking codes last?

  8. #8
    Default
    Quote Originally Posted by AWilliams@mobheart.com View Post
    For I25-CAD codes, is it more important to post the smoking code secondary to the CAD or the more significant cardiac codes treated on the visit and the smoking codes last?
    Z code would go at the end. I think of it the same as V codes in 9 going at the end unless it was the reason for the encounter in absence of an illness. Its really just information only for tracking purposes for those who deal with the statistical analysis.
    Last edited by CodingKing; 12-01-2015 at 02:47 PM.
    CPC-P-A (11/2016), COC-A (9/2016), CPC-A (11/2015), PAHM (2010)
    Fee Schedule Configuration Specialist - Remote

    15 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

  9. #9
    Default ICD 10 DX for CPT 99406
    I am having trouble getting CPT 99406 paid with ICD-10 F17.210 . Any suggestions on what Dx to use?

    Thank you

  10. #10
    Default
    Quote Originally Posted by mquiroz View Post
    I am having trouble getting CPT 99406 paid with ICD-10 F17.210 . Any suggestions on what Dx to use?

    Thank you


    What denial reason is it giving. This looks appropriate. Maybe its just not a covered benefit?
    CPC-P-A (11/2016), COC-A (9/2016), CPC-A (11/2015), PAHM (2010)
    Fee Schedule Configuration Specialist - Remote

    15 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

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