Diagnosis coding for vaping-related disorders has been a hot topic lately. It’s so hot, that you’re getting a new ICD-10-CM code to be implemented on the unusual date of April 1, 2020, instead of with the usual Oct. 1 update. Start preparing with these tips.
Where Can You Find a U Code in ICD-10-CM?
Let’s jump right in by looking at the new code: U07.0 (Vaping-related disorder).
One of the more interesting aspects of this code may be that it starts with the letter U. ICD-10-CM does not currently include any other codes starting with U. The April 2020 ICD-10-CM addenda for the Tabular List shows that the code set will be getting new Chapter 22, Codes for special purposes (U00-U85).
Code U07.0 will be in the new section Provisional assignment of new diseases of uncertain etiology or emergency use (U00-U49). A note with the section will state, “Codes U00-U49 are to be used by WHO for the provisional assignment of new diseases of uncertain etiology.”
WHO refers to the World Health Organization, which owns and publishes ICD-10. ICD-10-CM is an adaptation of ICD-10 approved for use in the United States. The Centers for Disease Control and Prevention (CDC) provides ICD-10-CM information, including announcements related to vaping coding, on its National Center for Health Statistics (NCHS) ICD-10-CM page. NCHS is one of the ICD-10-CM Cooperating Parties, along with the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), and the Centers for Medicare & Medicaid Services (CMS).
Improve Coding With Notes in the Tabular Addenda
The ICD-10-CM April 2020 Tabular List addenda shows that there will be a number of notes with the new vaping-related disorder code. You’ll get a list of diagnoses that the code applies to and a “use additional code” note to help with complete coding of your claim.
Here’s how the new coding information will appear, starting with the new category:
U07.- (Conditions of uncertain etiology)
U07.0 (Vaping-related disorder)
Dabbing related lung damage
Dabbing related lung injury
E-cigarette, or vaping, product use associated lung injury [EVALI]
Electronic cigarette related lung damage
Electronic cigarette related lung injury
Use additional code, to identify manifestations, such as:
abdominal pain (R10.84)
acute respiratory distress syndrome (J80)
drug-induced interstitial lung disorder (J70.4)
lipoid pneumonia (J69.1)
weight loss (R63.4)
Term tip: Dabbing is the inhalation of small amounts of a concentrated and vaporized drug.
Expect These U07.0 Additions to the Index
The ICD-10-CM Index List addenda shows more than 20 additions related to U07.0. When you look in the index under the entries listed below, you’ll see references to the new code:
- Disease, diseased/lung
- Disease, diseased/organ
- Disorder/lung, interstitial, drug-induced
Under each of those, the index will point you to U07.0 in the subentries for dabbing (related), electronic cigarette (related), and vaping (device) (product) (use) (associated). Remember that parentheses in the Alphabetic Index of ICD-10-CM surround nonessential modifiers. That means they are “supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it is assigned,” according to the 2020 ICD-10-CM Official Guidelines.
There are a couple of variations, too. Under Disorder, you’ll also find e-cigarette (related) in the subentries, and the term (related) is added to the end of the vaping subentry.
Under the Injury entry, there is this additional subentry under lung: EVALI – [e-cigarette, or vaping, product use associated].
What About You?
Have you been keeping tabs on the EVALI outbreak statistics posted by the CDC? Have you coded cases for vaping-related disorders? If so, do you code for primary care, pulmonology, or another specialty?