Key ICD-10 Codes for Electronic Cigarette Use
The International Classification of Diseases, 10th Revision (ICD-10), provides codes to classify diseases and health problems. For conditions related to electronic cigarette (e-cigarette) or vaping product use, the following codes are most relevant, particularly within clinical modifications like ICD-10-CM (Clinical Modification) used in the United States:
Specific Disorder Related to Vaping
- U07.0 Vaping-related disorder: This code is used for acute lung injury or other conditions directly attributable to vaping, such as E-cigarette, or Vaping, product use Associated Lung Injury (EVALI).
Nicotine Dependence from E-cigarettes
If e-cigarette use leads to nicotine dependence, codes from category F17 (Mental and behavioural disorders due to use of nicotine) are applicable. E-cigarettes are often classified under “other tobacco product” when dependence on nicotine from vaping is diagnosed:
- F17.29- Nicotine dependence, other tobacco product
- F17.290: Nicotine dependence, other tobacco product, uncomplicated
- F17.291: Nicotine dependence, other tobacco product, in remission
- F17.293: Nicotine dependence, other tobacco product, with withdrawal
- F17.298: Nicotine dependence, other tobacco product, with other nicotine-induced disorders
- F17.299: Nicotine dependence, other tobacco product, with unspecified nicotine-induced disorders
Alternatively, if the specific product isn’t detailed or a general nicotine dependence is coded:
- F17.20- Nicotine dependence, unspecified
- F17.200: Nicotine dependence, unspecified, uncomplicated
- F17.201: Nicotine dependence, unspecified, in remission
- F17.203: Nicotine dependence, unspecified, with withdrawal
- F17.208: Nicotine dependence, unspecified, with other nicotine-induced disorders
- F17.209: Nicotine dependence, unspecified, with unspecified nicotine-induced disorders
Harmful Use of Nicotine (from E-cigarettes)
If e-cigarette use is causing physical or psychological harm but criteria for dependence are not met:
- F17.1 Harmful use of nicotine: This code can be used when a pattern of nicotine use (including from e-cigarettes) is causing damage to health.
Nicotine Withdrawal (from E-cigarettes)
If a patient experiences withdrawal symptoms after ceasing or reducing e-cigarette use:
- F17.3 Nicotine withdrawal: This code is used when withdrawal symptoms are present due to cessation or reduction of nicotine from any source, including e-cigarettes. This is often coded alongside a dependence code (e.g., F17.293).
Other Considerations for Documenting Use or Exposure
- T65.22- Toxic effect of nicotine: This category is used for poisoning or toxic effects of nicotine, such as accidental ingestion of e-liquid. Specific codes include:
- T65.221A: Toxic effect of nicotine, accidental (unintentional), initial encounter
- T65.222A: Toxic effect of nicotine, intentional self-harm, initial encounter
- T65.223A: Toxic effect of nicotine, assault, initial encounter
- T65.224A: Toxic effect of nicotine, undetermined, initial encounter
- Z72.0 Tobacco use: While traditionally for combustible tobacco, its applicability to e-cigarette use (when no dependence or specific disorder is diagnosed) may vary based on local guidelines. It is less specific for e-cigarettes than the F17 codes for dependence or harmful use.
- Z87.891 Personal history of nicotine dependence: Used if the patient has a resolved history of nicotine dependence, including from e-cigarettes.
Important Note: The selection of the most appropriate ICD-10 code depends on the specific clinical documentation, the context of care, and the nature of the health issue related to e-cigarette use. Clinicians should refer to the latest official ICD-10 (or its national modification, such as ICD-10-CM) guidelines for the most accurate and detailed coding practices in their specific region or country.
