ICD-10 Coding for Chronic Smoker(F17.210, Z87.891)
Complete ICD-10-CM coding and documentation guide for Chronic Smoker. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Smoker
F17.2Primary Range
Nicotine dependence
Primary code range for documenting nicotine dependence and its complications.
Tobacco use, not otherwise specified
Used for non-dependent tobacco use, such as social smoking.
Personal history of nicotine dependence
Used for documenting a history of nicotine dependence after cessation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F17.210 | Nicotine dependence, cigarettes, uncomplicated | Use when documenting active cigarette smoking without complications. |
|
| Z87.891 | Personal history of nicotine dependence | Use for patients with a history of smoking who have quit. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for chronic smoker
Essential facts and insights about Chronic Smoker
Primary ICD-10-CM Codes for chronic smoker
Decision Criteria
clinical Criteria
- Active smoking status confirmed by patient report
Z87.891 - Personal history of nicotine dependence
Use for patients with a history of smoking who have quit.
Applicable To
- History of smoking
Excludes
- F17.2
Clinical Validation Requirements
- Patient has not smoked in over 12 months
Coding Notes
Document the cessation date clearly.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Smoker to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F17.210.
Impact
Clinical: May lead to inadequate treatment planning., Regulatory: Fails to meet documentation standards., Financial: Could result in claim denials.
Mitigation Strategy
Use structured templates, Train staff on documentation standards
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Violates ICD-10 coding rules., Data Quality: Leads to inaccurate patient records.
Mitigation Strategy
Use F17.2 for current dependence and Z87.891 for history only.
Impact
Using Z87.891 for current smokers
Mitigation Strategy
Regular training and audits of coding practices
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Chronic Smoker, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Smoker
Use these documentation templates to ensure complete and accurate documentation for Chronic Smoker. These templates include all required elements for proper coding and billing.
Chronic smoker with COPD
Specialty: PulmonologyRequired Elements
- Smoking history
- Current smoking status
- Impact on lung function
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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