ICD-10 Coding for History of Smoker(Z87.891, F17.210)
Complete ICD-10-CM coding and documentation guide for History of Smoker. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Smoker
Z87.891Primary Range
Personal history of nicotine dependence
Used to document a patient's past nicotine dependence after cessation.
Nicotine dependence
Used for current nicotine dependence, including specific types and complications.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z87.891 | Personal history of nicotine dependence | Use when a patient has a documented history of nicotine dependence but is no longer using tobacco. |
|
| F17.210 | Nicotine dependence, cigarettes, uncomplicated | Use for patients currently dependent on cigarettes. |
|
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 history of smoking
Essential facts and insights about History of Smoker
Primary ICD-10-CM Codes for history of smoker
Decision Criteria
documentation Criteria
- Document cessation date and history of use.
Applicable To
- Former smoker
- History of nicotine dependence
Excludes
- Current nicotine dependence (F17.2-)
Clinical Validation Requirements
- Documented cessation date
- History of pack-years
Code-Specific Risks
- Misuse for current smokers
Coding Notes
- Ensure documentation clearly states cessation and history details.
F17.210 - Nicotine dependence, cigarettes, uncomplicated
Use for patients currently dependent on cigarettes.
Applicable To
- Current smoker with dependence
Excludes
- History of nicotine dependence (Z87.891)
Clinical Validation Requirements
- Current use of cigarettes
- Dependence criteria met
Coding Notes
Ensure current dependence is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Tobacco use, nondependent
Z72.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Smoker to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.891.
Impact
Clinical: Inaccurate patient history, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Always ask for cessation date, Include in EHR templates
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use F17.2- codes for current nicotine dependence.
Impact
Using history codes for current smokers.
Mitigation Strategy
Regular training on coding guidelines.
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 History of Smoker, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Smoker
Use these documentation templates to ensure complete and accurate documentation for History of Smoker. These templates include all required elements for proper coding and billing.
Documenting a former smoker
Specialty: Primary CareRequired Elements
- Cessation date
- Pack-years history
- Current tobacco use status
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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