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Pulmonology Coding Alert

ICD-10:

Ensure Accurate Physician Documentation When Coding 305.1

Published on Wed Jan 19, 2011

Prepare to use F17.200 for nicotine dependence beginning Oct. 1, 2013.Thinking of habitual smokers as nicotine dependent can help guide your ICD-10 code selection. Under ICD-9, dependence on tobacco, to the detriment of a patient's health or social functioning, would be reported with code 305.1 (Nondependent abuse of drugs; tobacco use disorder).ICD-10 difference: When ICD-9 transitions to ICD-10 on Oct. 1, 2013, you will modify your tobacco use disorder coding from 305.1 to the appropriate code from series F17.2 (Nicotine dependence, unspecified, uncomplicated). When using your ICD-10 manual, note that the following entries will contain back-references to F17.200:Dependence (on) (syndrome) F19.20 drug NEC F19.20 nicotine F17.200Tabacism, tabacosis, tabagism -- see also Poisoning, tobacco Meaning dependence (without remission) F17.200 Coder tips: Before selecting F17.200, ensure that a more specific code is not warranted. Specificity is a key factor for ICD-10. F17.200 merely indicates that the patient is tobacco dependent; the doctor likely [...]
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