2023

  1. ICD-10-CM Codes
    2. ›
  2. Z00-Z99
    3. ›
  3. Z55-Z65
    4. ›
  4. Z57-
    5. ›
  5. 2023 ICD-10-CM Diagnosis Code Z57.31

2023 ICD-10-CM Diagnosis Code Z57.31

Occupational exposure to environmental tobacco smoke

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • Z57.31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM Z57.31 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z57.31 - other international versions of ICD-10 Z57.31 may differ.
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (Z57.31) and the excluded code together.
  • 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 2019 2020 2021 2022 2023 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
    )
The following code(s) above Z57.31 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z57.31:
  • Z00-Z99
    2023 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z57.31 is considered exempt from POA reporting.
ICD-10-CM Z57.31 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 951 Other factors influencing health status

Convert Z57.31 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to Z57.31:
  • Type 2 Excludes: Z77.22
    ICD-10-CM Diagnosis Code Z77.22

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

      2016 2017 2018 2019 2020 2021 2022 2023 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)
  • Use Additional: I70
    , G31.84
    , H66
    , T65.22
    , J31
    , J32
    , J33
    , I20
    , J35
    , Z85
    , I21
    , J37
    , C07
    , C11
    , C32
    , C14
    , C12
    , C39
    , J38
    , C08
    , C33
    , C13
    , I22
    , C34
    , C09
    , J40
    , J41
    , C10
    , I25
    , D02
    , J42
    , D00.0
    , J43
    , J44
    , J45
    , J47
    , K05
    , J98
    , K11
    , K12
    , K14
    , J81
    , K13
    ICD-10-CM Diagnosis Code I70

    Atherosclerosis

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • arteriolosclerosis
    • arterial degeneration
    • arteriosclerosis
    • arteriosclerotic vascular disease
    • arteriovascular degeneration
    • atheroma
    • endarteritis deformans or obliterans
    • senile arteritis
    • senile endarteritis
    • vascular degeneration
    Type 2 Excludes
    • arteriosclerotic cardiovascular disease (I25.1-)
    • arteriosclerotic heart disease (I25.1-)
    • atheroembolism (I75.-)
    • cerebral atherosclerosis (I67.2)
    • coronary atherosclerosis (I25.1-)
    • mesenteric atherosclerosis (K55.1)
    • precerebral atherosclerosis (I67.2)
    • primary pulmonary atherosclerosis (I27.0)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code G31.84

    Mild cognitive impairment of uncertain or unknown etiology

      2016 2017 2018 2019 2020 2021 2022 2023 - Revised Code Billable/Specific Code
    Applicable To
    • Mild cognitive disorder NOS
    • Mild neurocognitive disorder of uncertain or unknown etiology
    Type 1 Excludes
    • age related cognitive decline (R41.81)
    • altered mental status (R41.82)
    • cerebral degeneration (G31.9)
    • cerebrovascular diseases (I60-I69)
    • change in mental status (R41.82)
    • cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-, I69.11-, I69.21-, I69.31-, I69.81-, I69.91-)
    • cognitive impairment due to intracranial or head injury (S06.-)
    • dementia (F01.-, F02.-, F03)
    • mild neurocognitive disorder due to a known physiological condition (F06.7-)
    • neurologic neglect syndrome (R41.4)
    • personality change, nonpsychotic (F68.8)
    Use Additional
    • code to identify presence of:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • hypertension (I10-I16)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code H66

    Suppurative and unspecified otitis media

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • suppurative and unspecified otitis media with myringitis
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code T65.22

    Toxic effect of tobacco cigarettes

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Toxic effect of tobacco smoke
    Use Additional
    • code for exposure to second hand tobacco smoke (Z57.31, Z77.22)
    ICD-10-CM Diagnosis Code J31

    Chronic rhinitis, nasopharyngitis and pharyngitis

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J32

    Chronic sinusitis

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • sinus abscess
    • sinus empyema
    • sinus infection
    • sinus suppuration
    Type 2 Excludes
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • infectious agent (B95-B97)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J33

    Nasal polyp

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • adenomatous polyps (D14.0)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code I20

    Angina pectoris

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • angina pectoris with atherosclerotic heart disease of native coronary arteries (I25.1-)
    • atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris (I25.7-)
    • postinfarction angina (I23.7)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J35

    Chronic diseases of tonsils and adenoids

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code Z85

    Personal history of malignant neoplasm

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code First
    • any follow-up examination after treatment of malignant neoplasm (Z08)
    Type 2 Excludes
    • personal history of benign neoplasm (Z86.01-)
    • personal history of carcinoma-in-situ (Z86.00-)
    Use Additional
    • code to identify:
    • alcohol use and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code I21

    Acute myocardial infarction

      2016 2017 2018 - Revised Code 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • cardiac infarction
    • coronary (artery) embolism
    • coronary (artery) occlusion
    • coronary (artery) rupture
    • coronary (artery) thrombosis
    • infarction of heart, myocardium, or ventricle
    • myocardial infarction specified as acute or with a stated duration of 4 weeks (28 days) or less from onset
    Type 2 Excludes
    • old myocardial infarction (I25.2)
    • postmyocardial infarction syndrome (I24.1)
    • subsequent type 1 myocardial infarction (I22.-)
    Use Additional
    • code, if applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J37

    Chronic laryngitis and laryngotracheitis

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • infectious agent (B95-B97)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C07

    Malignant neoplasm of parotid gland

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C11

    Malignant neoplasm of nasopharynx

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C32

    Malignant neoplasm of larynx

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C14

    Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • malignant neoplasm of oral cavity NOS (C06.9)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C12

    Malignant neoplasm of pyriform sinus

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Malignant neoplasm of pyriform fossa
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C39

    Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • intrathoracic malignant neoplasm NOS (C76.1)
    • thoracic malignant neoplasm NOS (C76.1)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J38

    Diseases of vocal cords and larynx, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital laryngeal stridor (P28.89)
    • obstructive laryngitis (acute) (J05.0)
    • postprocedural subglottic stenosis (J95.5)
    • stridor (R06.1)
    • ulcerative laryngitis (J04.0)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C08

    Malignant neoplasm of other and unspecified major salivary glands

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • malignant neoplasm of salivary ducts
    Type 1 Excludes
    • malignant neoplasms of specified minor salivary glands which are classified according to their anatomical location
    Type 2 Excludes
    • malignant neoplasms of minor salivary glands NOS (C06.9)
    • malignant neoplasm of parotid gland (C07)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C33

    Malignant neoplasm of trachea

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C13

    Malignant neoplasm of hypopharynx

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • malignant neoplasm of pyriform sinus (C12)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code I22

    Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • acute myocardial infarction occurring within four weeks (28 days) of a previous acute myocardial infarction, regardless of site
    • cardiac infarction
    • coronary (artery) embolism
    • coronary (artery) occlusion
    • coronary (artery) rupture
    • coronary (artery) thrombosis
    • infarction of heart, myocardium, or ventricle
    • recurrent myocardial infarction
    • reinfarction of myocardium
    • rupture of heart, myocardium, or ventricle
    • subsequent type 1 myocardial infarction
    Type 1 Excludes
    • subsequent myocardial infarction, type 2 (I21.A1)
    • subsequent myocardial infarction of other type (type 3) (type 4) (type 5) (I21.A9)
    Use Additional
    • code, if applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C34

    Malignant neoplasm of bronchus and lung

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • Kaposi's sarcoma of lung (C46.5-)
    • malignant carcinoid tumor of the bronchus and lung (C7A.090)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C09

    Malignant neoplasm of tonsil

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • malignant neoplasm of lingual tonsil (C02.4)
    • malignant neoplasm of pharyngeal tonsil (C11.1)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J40

    Bronchitis, not specified as acute or chronic

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Bronchitis NOS
    • Bronchitis with tracheitis NOS
    • Catarrhal bronchitis
    • Tracheobronchitis NOS
    Type 1 Excludes
    • acute bronchitis (J20.-)
    • allergic bronchitis NOS (J45.909-)
    • asthmatic bronchitis NOS (J45.9-)
    • bronchitis due to chemicals, gases, fumes and vapors (J68.0)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J41

    Simple and mucopurulent chronic bronchitis

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • chronic bronchitis NOS (J42)
    • chronic obstructive bronchitis (J44.-)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code C10

    Malignant neoplasm of oropharynx

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • malignant neoplasm of tonsil (C09.-)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code I25

    Chronic ischemic heart disease

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • non-ischemic myocardial injury (I5A)
    Use Additional
    • code to identify:
    • chronic total occlusion of coronary artery (I25.82)
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code D02

    Carcinoma in situ of middle ear and respiratory system

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J42

    Unspecified chronic bronchitis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Chronic bronchitis NOS
    • Chronic tracheitis
    • Chronic tracheobronchitis
    Type 1 Excludes
    • chronic asthmatic bronchitis (J44.-)
    • chronic bronchitis with airways obstruction (J44.-)
    • chronic emphysematous bronchitis (J44.-)
    • chronic obstructive pulmonary disease NOS (J44.9)
    • simple and mucopurulent chronic bronchitis (J41.-)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code D00.0

    Carcinoma in situ of lip, oral cavity and pharynx

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • carcinoma in situ of aryepiglottic fold or interarytenoid fold, laryngeal aspect (D02.0)
    • carcinoma in situ of epiglottis NOS (D02.0)
    • carcinoma in situ of epiglottis suprahyoid portion (D02.0)
    • carcinoma in situ of skin of lip (D03.0, D04.0)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J43

    Emphysema

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • compensatory emphysema (J98.3)
    • emphysema due to inhalation of chemicals, gases, fumes or vapors (J68.4)
    • emphysema with chronic (obstructive) bronchitis (J44.-)
    • emphysematous (obstructive) bronchitis (J44.-)
    • interstitial emphysema (J98.2)
    • mediastinal emphysema (J98.2)
    • neonatal interstitial emphysema (P25.0)
    • surgical (subcutaneous) emphysema (T81.82)
    Type 2 Excludes
    • traumatic subcutaneous emphysema (T79.7)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J44

    Other chronic obstructive pulmonary disease

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code Also
    • type of asthma, if applicable (J45.-)
    Includes
    • asthma with chronic obstructive pulmonary disease
    • chronic asthmatic (obstructive) bronchitis
    • chronic bronchitis with airway obstruction
    • chronic bronchitis with emphysema
    • chronic emphysematous bronchitis
    • chronic obstructive asthma
    • chronic obstructive bronchitis
    • chronic obstructive tracheobronchitis
    Type 1 Excludes
    • bronchiectasis (J47.-)
    • chronic bronchitis NOS (J42)
    • chronic simple and mucopurulent bronchitis (J41.-)
    • chronic tracheitis (J42)
    • chronic tracheobronchitis (J42)
    • emphysema without chronic bronchitis (J43.-)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J45

    Asthma

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • allergic (predominantly) asthma
    • allergic bronchitis NOS
    • allergic rhinitis with asthma
    • atopic asthma
    • extrinsic allergic asthma
    • hay fever with asthma
    • idiosyncratic asthma
    • intrinsic nonallergic asthma
    • nonallergic asthma
    Type 1 Excludes
    Type 2 Excludes
    • asthma with chronic obstructive pulmonary disease (J44.9)
    • chronic asthmatic (obstructive) bronchitis (J44.9)
    • chronic obstructive asthma (J44.9)
    Use Additional
    • code to identify:
    • eosinophilic asthma (J82.83)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J47

    Bronchiectasis

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • bronchiolectasis
    Type 1 Excludes
    • congenital bronchiectasis (Q33.4)
    • tuberculous bronchiectasis (current disease) (A15.0)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code K05

    Gingivitis and periodontal diseases

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J98

    Other respiratory disorders

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Type 2 Excludes
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code K11

    Diseases of salivary glands

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code K12

    Stomatitis and related lesions

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • cancrum oris (A69.0)
    • cheilitis (K13.0)
    • gangrenous stomatitis (A69.0)
    • herpesviral [herpes simplex] gingivostomatitis (B00.2)
    • noma (A69.0)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code K14

    Diseases of tongue

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • erythroplakia (K13.29)
    • focal epithelial hyperplasia (K13.29)
    • leukedema of tongue (K13.29)
    • leukoplakia of tongue (K13.21)
    • hairy leukoplakia (K13.3)
    • macroglossia (congenital) (Q38.2)
    • submucous fibrosis of tongue (K13.5)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code J81

    Pulmonary edema

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • chemical (acute) pulmonary edema (J68.1)
    • hypostatic pneumonia (J18.2)
    • passive pneumonia (J18.2)
    • pulmonary edema due to external agents (J60-J70)
    • pulmonary edema with heart disease NOS (I50.1)
    • pulmonary edema with heart failure (I50.1)
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code K13

    Other diseases of lip and oral mucosa

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • epithelial disturbances of tongue
    Type 2 Excludes
    • certain disorders of gingiva and edentulous alveolar ridge (K05-K06)
    • cysts of oral region (K09.-)
    • diseases of tongue (K14.-)
    • stomatitis and related lesions (K12.-)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)

Diagnosis Index entries containing back-references to Z57.31:
  • Exposure (to) T75.89
    - see also Contact, with
    ICD-10-CM Diagnosis Code T75.89

    Other specified effects of external causes

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

ICD-10-CM Codes Adjacent To Z57.31
Z56.8 Other problems related to employment
Z56.81 Sexual harassment on the job
Z56.82 Military deployment status
Z56.89 Other problems related to employment
Z56.9 Unspecified problems related to employment
Z57 Occupational exposure to risk factors
Z57.0 Occupational exposure to noise
Z57.1 Occupational exposure to radiation
Z57.2 Occupational exposure to dust
Z57.3 Occupational exposure to other air contaminants
Z57.31 Occupational exposure to environmental tobacco smoke
Z57.39 Occupational exposure to other air contaminants
Z57.4 Occupational exposure to toxic agents in agriculture
Z57.5 Occupational exposure to toxic agents in other industries
Z57.6 Occupational exposure to extreme temperature
Z57.7 Occupational exposure to vibration
Z57.8 Occupational exposure to other risk factors
Z57.9 Occupational exposure to unspecified risk factor
Z58 Problems related to physical environment
Z58.6 Inadequate drinking-water supply
Z59 Problems related to housing and economic circumstances

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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