Results 1 to 4 of 4

Proper use of 305.1 (Tobacco use disorder)

  1. #1
    Cool Proper use of 305.1 (Tobacco use disorder)
    Clearnace Sale
    When would you use 305.1 aside from when its specifically stated the patient is a smoker? If a pt had conjunctivitis, or sinusitis and the Health FX were checked with smoker, would this be coded? What conditions could/should this be used with?

  2. #2
    Columbia, MO
    You code of course when documented by the physician . When working at the cancer center we were cautioned to use this code only when the physician documented a smoking habit like "pt smokes x packes per day", or "pt has an x pack year habit", they stated that just saying the patient smokes was not sufficient for the 305.1. Also you would use it defienitly when the smoking is a complicating factor, such as pts with problems needing surgery, since smoking tends to delay healing, or pts with pulmonary problems like asthma or heart conditions like CHF.
    I hope this gives you what you were looking for.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    So I understand that you use it as a complicating factors, but Im having a hard time finding anything stating which problems it complicates. I understand it complicates anything to do with the respiratory/lung and healing, but what about problems including sinuses or eyes?

  4. #4
    I think that's one of the issues most people have, is when to use it. We were told at our facility, if the Dr. documents it anywhere, code it. It does affect many, many parts of the body and healing process. The smoke could be a mitigating factor in eye problems or sinus problems, lungs, cancer, wound care, healing lacerations, etc. So, our standing is, if it's documented code it. There will be many different standings on this. Good luck!
    Anna Weaver, CPC, CPMA, CEMC
    Associate Auditor

Similar Threads

  1. Wiki Tobacco Use Vs Tobacco Dependence - Can anyone explain
    By AmandaHartman in forum ICD-10
    Replies: 16
    Last Post: 05-12-2016, 03:47 PM
  2. 305.1 and Mdicare
    By dballard2004 in forum Diagnosis Coding
    Replies: 3
    Last Post: 03-14-2011, 05:58 AM
  3. 305.1
    By SIMCPC4U in forum Diagnosis Coding
    Replies: 1
    Last Post: 06-21-2010, 04:30 PM
  4. tobacco use disorder
    By cindygtchc in forum Family Practice
    Replies: 1
    Last Post: 06-21-2010, 12:11 PM
  5. Austistic disorder and assessment disorder
    By aoglesby in forum Diagnosis Coding
    Replies: 2
    Last Post: 12-11-2009, 04:36 AM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.