2025 ICD-10-CM code Z77.22
(Active) Effective Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to family and personal history and certain conditions influencing health status 21. Factors influencing health status and contact with health services (Z00-Z99) Feed
Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic).
This code is used to document exposure to environmental tobacco smoke as a factor influencing health status. It can be used for both acute and chronic exposure.It's not intended for billing the treatment of conditions caused by secondhand smoke, but to highlight the exposure as a risk factor.
Clinicians should document the source, duration, and frequency of exposure, along with any related symptoms or health concerns.It's crucial to distinguish between exposure and tobacco use disorder (F17.-) or a history of tobacco dependence (Z87.891).
- 21. Factors influencing health status and contact with health services (Z00-Z99)
- Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
In simple words: Exposure to secondhand smoke, either recent or ongoing.
Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic). This code encompasses both acute and chronic exposure to secondhand smoke, also known as passive smoking.
Example 1: A non-smoking adult presents with persistent cough and has a spouse who smokes heavily at home., A child is brought in for a check-up and the parent reports smoking regularly in the house., A bartender with ongoing exposure to secondhand smoke at their workplace reports worsening asthma symptoms.
Detailed documentation of the exposure, including the source, frequency, and duration, is essential. Any observed health effects linked to the exposure should also be noted. It's important to differentiate between direct tobacco use and secondhand smoke exposure in the documentation.
** This code is not to be used to directly bill for the treatment of diseases caused by secondhand smoke, such as asthma or heart disease. Instead, it is used to indicate the exposure itself, which helps in assessing risk and guiding preventive measures. This information can be valuable for public health tracking and intervention efforts.
- Specialties:Internal Medicine, Family Medicine, Pediatrics, Occupational Medicine, Pulmonology, Cardiology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Home, Place of Employment - Worksite