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Smoker in ICD-10-CM

  1. #1
    Alexandria, LA
    Default Smoker in ICD-10-CM
    Medical Coding Books
    If I look in the index of ICD-10-CM under "Smoker" it directs me to "Dependence, drug, nicotine". Looking that up directs me to F17.
    There is an Exclude 1 at F17 for "tobacco use NOS (Z72.0).

    If the record indicates 3 pack a day smoker - do you code F17.x or Z72.0?

  2. #2
    Columbia, MO
    if the record indicates 3 packs per day then that is a habit or dependence and gets the F17 if however the record indicates the patients smokes without indicating the habit then it would be the Z72.0.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    What about if they document the length of time the pt has been a smoker vs the number of packs per day? For instance: pt has smoked for the last 30 years.


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