Carcinoma in situ of middle ear and respiratory system D02- >

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify:
  • exposure to environmental tobacco smoke (
    ICD-10-CM Diagnosis Code Z77.22

    Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Exposure to second hand tobacco smoke (acute) (chronic)
    • Passive smoking (acute) (chronic)
    Type 1 Excludes
    Type 2 Excludes
    • occupational exposure to environmental tobacco smoke (Z57.31)
    Z77.22
    )
  • exposure to tobacco smoke in the perinatal period (
    ICD-10-CM Diagnosis Code P96.81

    Exposure to (parental) (environmental) tobacco smoke in the perinatal period

      2016 2017 2018 Billable/Specific Code Code on Newborn Record
    Type 2 Excludes
    • newborn affected by in utero exposure to tobacco (P04.2)
    • exposure to environmental tobacco smoke after the perinatal period (Z77.22)
    P96.81
    )
  • history of tobacco dependence (
    ICD-10-CM Diagnosis Code Z87.891

    Personal history of nicotine dependence

      2016 2017 2018 Billable/Specific Code POA Exempt
    Type 1 Excludes
    • current nicotine dependence (F17.2-)
    Z87.891
    )
  • occupational exposure to environmental tobacco smoke (
    ICD-10-CM Diagnosis Code Z57.31

    Occupational exposure to environmental tobacco smoke

      2016 2017 2018 Billable/Specific Code POA Exempt
    Type 2 Excludes
    • exposure to environmental tobacco smoke (Z77.22)
    Z57.31
    )
  • tobacco dependence (
    ICD-10-CM Diagnosis Code F17
    • F17 Nicotine dependence
      • F17.2 Nicotine dependence
        • F17.20 Nicotine dependence, unspecified
          • F17.200 Nicotine dependence, unspecified, uncomplicat...
          • F17.201 Nicotine dependence, unspecified, in remissio...
          • F17.203 Nicotine dependence unspecified, with withdra...
          • F17.208 Nicotine dependence, unspecified, with other ...
          • F17.209 Nicotine dependence, unspecified, with unspec...
        • F17.21 Nicotine dependence, cigarettes
          • F17.210 Nicotine dependence, cigarettes, uncomplicate...
          • F17.211 Nicotine dependence, cigarettes, in remission...
          • F17.213 Nicotine dependence, cigarettes, with withdra...
          • F17.218 Nicotine dependence, cigarettes, with other n...
          • F17.219 Nicotine dependence, cigarettes, with unspeci...
        • F17.22 Nicotine dependence, chewing tobacco
          • F17.220 Nicotine dependence, chewing tobacco, uncompl...
          • F17.221 Nicotine dependence, chewing tobacco, in remi...
          • F17.223 Nicotine dependence, chewing tobacco, with wi...
          • F17.228 Nicotine dependence, chewing tobacco, with ot...
          • F17.229 Nicotine dependence, chewing tobacco, with un...
        • F17.29 Nicotine dependence, other tobacco product
          • F17.290 Nicotine dependence, other tobacco product, u...
          • F17.291 Nicotine dependence, other tobacco product, i...
          • F17.293 Nicotine dependence, other tobacco product, w...
          • F17.298 Nicotine dependence, other tobacco product, w...
          • F17.299 Nicotine dependence, other tobacco product, w...
    F17.-
    )
  • tobacco use (
    ICD-10-CM Diagnosis Code Z72.0

    Tobacco use

      2016 2017 2018 Billable/Specific Code POA Exempt
    Applicable To
    • Tobacco use NOS
    Type 1 Excludes
    • history of tobacco dependence (Z87.891)
    • nicotine dependence (F17.2-)
    • tobacco dependence (F17.2-)
    • tobacco use during pregnancy (O99.33-)
    Z72.0
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as D02. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • melanoma in situ (
    ICD-10-CM Diagnosis Code D03
    • D03 Melanoma in situ
      • D03.0 Melanoma in situ of lip
      • D03.1 Melanoma in situ of eyelid, including canthus...
        • D03.10 Melanoma in situ of unspecified eyelid, inclu...
        • D03.11 Melanoma in situ of right eyelid, including c...
        • D03.12 Melanoma in situ of left eyelid, including ca...
      • D03.2 Melanoma in situ of ear and external auricula...
        • D03.20 Melanoma in situ of unspecified ear and exter...
        • D03.21 Melanoma in situ of right ear and external au...
        • D03.22 Melanoma in situ of left ear and external aur...
      • D03.3 Melanoma in situ of other and unspecified par...
        • D03.30 Melanoma in situ of unspecified part of face
        • D03.39 Melanoma in situ of other parts of face
      • D03.4 Melanoma in situ of scalp and neck
      • D03.5 Melanoma in situ of trunk
        • D03.51 Melanoma in situ of anal skin
        • D03.52 Melanoma in situ of breast (skin) (soft tissu...
        • D03.59 Melanoma in situ of other part of trunk
      • D03.6 Melanoma in situ of upper limb, including sho...
        • D03.60 Melanoma in situ of unspecified upper limb, i...
        • D03.61 Melanoma in situ of right upper limb, includi...
        • D03.62 Melanoma in situ of left upper limb, includin...
      • D03.7 Melanoma in situ of lower limb, including hip...
        • D03.70 Melanoma in situ of unspecified lower limb, i...
        • D03.71 Melanoma in situ of right lower limb, includi...
        • D03.72 Melanoma in situ of left lower limb, includin...
      • D03.8 Melanoma in situ of other sites
      • D03.9 Melanoma in situ, unspecified
    D03.-
    )
Codes