Effective April 1, 2020, code U07.0, Vaping-related disorder, will be implemented in response to the recent occurrences of vaping related disorders. The incorporation of this diagnosis code is consistent with certain provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) for diagnosis coding, including the Official ICD–10–CM Guidelines for Coding and Reporting, as maintained and distributed by the U.S. Department of Health and Human Services.
The code is consistent with the emergency code established by the World Health Organization (WHO). The code resulted from a meeting of the WHO Framework Convention on Tobacco Control and the WHO Family of International Classifications (WHOFIC) Network Classification and Statistics Advisory Committee (CSAC).
According to the U.S. Centers for Disease Control and Prevention (CDC), using an electronic cigarette (e-cigarette) is commonly called vaping. E-cigarettes are also called vapes, e-hookahs, vape pens, tank systems, mods, and electronic nicotine delivery systems (ENDS). E-cigarettes work by heating a liquid to produce an aerosol that users inhale into their lungs. The liquid can contain: nicotine, tetrahydrocannabinol (THC) and cannabinoid (CBD) oils, and other substances, flavorings, and additives. THC is the psychoactive mind-altering compound of marijuana that produces the “high.” The U.S. Food and Drug Administration (FDA) and the U.S. Centers for Disease Control and Prevention (CDC) continue to investigate the incidents of severe respiratory illness associated with use of vaping products.
The new code is in Chapter 22, which is a new chapter within ICD-10-CM. Chapter 22 has a reserved block of codes for special purposes (U00-U85). There is also a new section “Provisional assignment of new diseases of uncertain etiology or emergency use (U00-U49).” Codes U00-U49 are to be used by WHO for the provisional assignment of new diseases of uncertain etiology. For more details refer to the addenda available at: https://www.cdc.gov/nchs/icd/data/Chapter-22-new-vaping-code-FINAL1.pdf.
There is also a supplement to the ICD-10-CM Official Coding Guidelines for coding encounters related to E-cigarettes, or Vaping Product Use, which was posted on October 17, 2019, available at https://www.cdc.gov/nchs/data/icd/Vapingcodingguidance2019_10_17_2019.pdf.Please note: Coding guidance for vaping related injury may be updated as needed.