AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 3; Ask the Editor
Vaping Use: THC, CBD, or Unspecified Substances
Our facility is seeing an increase in documented use of vaping substances other than nicotine. How should vaping be reported when the substances are listed as flavorings, cannabidiol (CBD), tetrahydrocannabinol (THC) or unspecified substances? ...
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Article Overview
This article addresses coding considerations for vaping documentation when the inhaled substance is something other than nicotine, including flavorings, cannabidiol, tetrahydrocannabinol, and unspecified substances. It is relevant for coding, CDI, and compliance staff who need to understand the general categories of ICD-10-CM guidance involved when vaping is mentioned in the record.
Why This Topic Matters
As vaping documentation becomes more varied, coders need a clear way to distinguish substance type and the clinical context described in the chart. This article helps readers understand the scope of the issue and where ICD-10-CM guidance may or may not apply.
What You Will Learn
- How vaping documentation is categorized by substance type
- How documentation context affects the reporting discussion
- What kinds of vaping-related substance use are addressed in the article
- Which documentation scenarios are described as not having a specific ICD-10-CM code
Who Should Read This
- Medical coders
- Coding auditors
- CDI specialists
- Compliance staff
- Revenue cycle staff
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