AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 2; Ask the Editor

History of Nicotine Dependence versus Drug Dependence in Remission

In the ICD-10-CM Index to Diseases, history of drug dependence has a note to “see Dependence, drug, by type, in remission.” However, history of tobacco/nicotine dependence is indexed to code Z87.891, Personal history of nicotine dependence. The instructions to code history of drug dependence as remission, and history of tobacco dependence as history, appear to be inconsistent and seem to conflict with the guideline to assign a code for remission when documented by the provider. When do you report drug remission versus drug history? ...

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