News: CDC publishes ICD-10-CM addenda for new vaping code

CDI Strategies - Volume 14, Issue 7

The Centers for Disease Control and Prevention (CDC) recently published an ICD-10-CM index and tabular addenda with reporting criteria for new ICD-10-CM code U07.0, Vaping-related disorders. The agency also updated its MS-DRG grouper software package to accommodate the new code, reported JustCoding.

Effective April 1, code U07.0 will be added to the ICD-10-CM manual under a new section: Provisional assignment of new diseases of uncertain etiology or emergency use. A note with the section will state, “Codes U00-U49 are to be used by WHO [World Health Organization] for the provisional assignment of new diseases of uncertain etiology.”

Coding information will appear as follows:

  • U07.0, vaping-related disorder
    • Dabbing-related lung damage
    • Dabbing-related lung injury
    • Electronic cigarette, or vaping, product use-associated lung injury [EVALI]
    • Electronic cigarette-related lung damage
    • Electronic cigarette-related lung injury

Coders are instructed to use additional codes to identify manifestations such as:

  • Abdominal pain (R10.84)
  • Acute respiratory distress syndrome (J80)
  • Diarrhea (R19.7)
  • Drug-induced interstitial lung disorder (J70.4)
  • Lipoid pneumonia (J69.1)
  • Weight loss (R63.4)

According to CDC guidance, when U07.0 is reported as a principal diagnosis, the following diagnosis codes will be excluded from acting as an MCC when reported as a secondary diagnosis under the complication or comorbidity exclusions list:

  • J67.8, hypersensitivity pneumonitis due to other organic dusts
  • J67.9, hypersensitivity pneumonitis due to unspecified organic dust
  • J68.0, bronchitis and pneumonitis due to chemicals, gases, fumes and vapors
  • J68.1, pulmonary edema due to chemicals, gases, fumes and vapors
  • J69.1, pneumonitis due to inhalation of oils and essence

Editor’s note: This article originally appeared in JustCoding. More ACDIS articles on vaping-related disorders can be found here and here.

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