ICD-10 Coding for History of Smoking(Z87.891, Z72.0)
Complete ICD-10-CM coding and documentation guide for History of Smoking. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Smoking
Z87.891Primary Range
Personal history of nicotine dependence
Used to document patients with a history of nicotine dependence who have quit smoking.
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 for patients who have a documented history of nicotine dependence and have quit smoking. |
|
| Z72.0 | Tobacco use, current | Use for patients currently using tobacco without documented dependence. |
|
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 Smoking
Primary ICD-10-CM Codes for history of smoking
Decision Criteria
clinical Criteria
- Patient has quit smoking and has a history of nicotine dependence.
Applicable To
- History of nicotine dependence
Excludes
- Current nicotine dependence (F17.2-)
Clinical Validation Requirements
- Documented cessation date
- History of nicotine dependence treatment
Code-Specific Risks
- Incorrectly using for current smokers
Coding Notes
- Ensure documentation specifies 'history of nicotine dependence' rather than just 'former smoker'.
Z72.0 - Tobacco use, current
Use for patients currently using tobacco without documented dependence.
Applicable To
- Current tobacco use without dependence
Excludes
- Nicotine dependence (F17.2-)
Clinical Validation Requirements
- Current use of tobacco products
Coding Notes
Ensure current use is documented without signs of dependence.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other long term (current) drug therapy
Z79.899Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Smoking to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.891.
Impact
Clinical: Misrepresents patient's current health status., Regulatory: Non-compliance with coding standards., Financial: Potential for claim rejections.
Mitigation Strategy
Verify current smoking status during each visit, Update records promptly
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use Z72.0 for current tobacco use without dependence.
Impact
Risk of coding current smokers as having a history of smoking.
Mitigation Strategy
Regular training on ICD-10 coding updates and 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 Smoking, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Smoking
Use these documentation templates to ensure complete and accurate documentation for History of Smoking. These templates include all required elements for proper coding and billing.
Pulmonary follow-up for former smoker
Specialty: PulmonologyRequired Elements
- Smoking history
- Cessation date
- Nicotine replacement therapy
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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