2021 ICD-10-CM Diagnosis Code Z77.22

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

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • Z77.22 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Cntct w and expsr to environ tobacco smoke (acute) (chronic)
  • The 2021 edition of ICD-10-CM Z77.22 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of Z77.22 - other international versions of ICD-10 Z77.22 may differ.
Applicable To
  • Exposure to second hand tobacco smoke (acute) (chronic)
  • Passive smoking (acute) (chronic)
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 Z77.22. 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.
  • nicotine 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 2019 2020 2021 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 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 (Z77.22) and the excluded code together.
  • occupational exposure to environmental tobacco smoke (
    ICD-10-CM Diagnosis Code Z57.31

    Occupational exposure to environmental tobacco smoke

      2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    Type 2 Excludes
    • exposure to environmental tobacco smoke (Z77.22)
    Z57.31
    )
The following code(s) above Z77.22 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 Z77.22:
  • Z00-Z99
    2021 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
  • Z77-Z99
    2021 ICD-10-CM Range Z77-Z99

    Persons with potential health hazards related to family and personal history and certain conditions influencing health status

    Code Also
    • any follow-up examination (Z08-Z09)
    Persons with potential health hazards related to family and personal history and certain conditions influencing health status
  • Z77
    ICD-10-CM Diagnosis Code Z77

    Other contact with and (suspected) exposures hazardous to health

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Includes
    • contact with and (suspected) exposures to potential hazards to health
    Type 2 Excludes
    • contact with and (suspected) exposure to communicable diseases (Z20.-)
    • exposure to (parental) (environmental) tobacco smoke in the perinatal period (P96.81)
    • newborn affected by noxious substances transmitted via placenta or breast milk (P04.-)
    • occupational exposure to risk factors (Z57.-)
    • retained foreign body (Z18.-)
    • retained foreign body fully removed (Z87.821)
    • toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
    Other contact with and (suspected) exposures hazardous to health
Approximate Synonyms
  • Exposure to second hand tobacco smoke
  • Smoker in home environment
  • Smokers in home
  • Toxic effect of secondary tobacco exposure
ICD-10-CM Z77.22 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 951 Other factors influencing health status

Convert Z77.22 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
Code annotations containing back-references to Z77.22:
  • Type 2 Excludes: P96.81
    , Z57.31
    ICD-10-CM Diagnosis Code P96.81

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

      2016 2017 2018 2019 2020 2021 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)
    ICD-10-CM Diagnosis Code Z57.31

    Occupational exposure to environmental tobacco smoke

      2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    Type 2 Excludes
    • exposure to environmental tobacco smoke (Z77.22)
  • Use Additional: I70
    , C07
    , C08
    , C09
    , C10
    , C11
    , C12
    , C13
    , C14
    , C32
    , C33
    , C34
    , C39
    , J31
    , J32
    , J33
    , J35
    , J37
    , J38
    , J40
    , J41
    , J42
    , J43
    , J44
    , J45
    , J47
    , J81
    , J98
    , K05
    , D00.0
    , K11
    , D02
    , K12
    , K13
    , K14
    , T65.22
    , Z85
    , H66
    , I20
    , I21
    , I25
    , I22
    ICD-10-CM Diagnosis Code I70

    Atherosclerosis

      2016 2017 2018 2019 2020 2021 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 C07

    Malignant neoplasm of parotid gland

      2016 2017 2018 2019 2020 2021 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 C08

    Malignant neoplasm of other and unspecified major salivary glands

      2016 2017 2018 2019 2020 2021 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 C09

    Malignant neoplasm of tonsil

      2016 2017 2018 2019 2020 2021 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 C10

    Malignant neoplasm of oropharynx

      2016 2017 2018 2019 2020 2021 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 C11

    Malignant neoplasm of nasopharynx

      2016 2017 2018 2019 2020 2021 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 C12

    Malignant neoplasm of pyriform sinus

      2016 2017 2018 2019 2020 2021 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 C13

    Malignant neoplasm of hypopharynx

      2016 2017 2018 2019 2020 2021 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 C14

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

      2016 2017 2018 2019 2020 2021 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 C32

    Malignant neoplasm of larynx

      2016 2017 2018 2019 2020 2021 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 C33

    Malignant neoplasm of trachea

      2016 2017 2018 2019 2020 2021 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 C34

    Malignant neoplasm of bronchus and lung

      2016 2017 2018 2019 2020 2021 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 C39

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

      2016 2017 2018 2019 2020 2021 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 J31

    Chronic rhinitis, nasopharyngitis and pharyngitis

      2016 2017 2018 2019 2020 2021 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 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 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 J35

    Chronic diseases of tonsils and adenoids

      2016 2017 2018 2019 2020 2021 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 J37

    Chronic laryngitis and laryngotracheitis

      2016 2017 2018 2019 2020 2021 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 J38

    Diseases of vocal cords and larynx, not elsewhere classified

      2016 2017 2018 2019 2020 2021 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 J40

    Bronchitis, not specified as acute or chronic

      2016 2017 2018 2019 2020 2021 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 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 J42

    Unspecified chronic bronchitis

      2016 2017 2018 2019 2020 2021 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 J43

    Emphysema

      2016 2017 2018 2019 2020 2021 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 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 airways 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 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
    • detergent asthma (J69.8)
    • eosinophilic asthma (J82)
    • miner's asthma (J60)
    • wheezing NOS (R06.2)
    • wood asthma (J67.8)
    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 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 J81

    Pulmonary edema

      2016 2017 2018 2019 2020 2021 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 J98

    Other respiratory disorders

      2016 2017 2018 2019 2020 2021 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 K05

    Gingivitis and periodontal diseases

      2016 2017 2018 2019 2020 2021 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 D00.0

    Carcinoma in situ of lip, oral cavity and pharynx

      2016 2017 2018 2019 2020 2021 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 K11

    Diseases of salivary glands

      2016 2017 2018 2019 2020 2021 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 D02

    Carcinoma in situ of middle ear and respiratory system

      2016 2017 2018 2019 2020 2021 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 K12

    Stomatitis and related lesions

      2016 2017 2018 2019 2020 2021 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 K13

    Other diseases of lip and oral mucosa

      2016 2017 2018 2019 2020 2021 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)
    ICD-10-CM Diagnosis Code K14

    Diseases of tongue

      2016 2017 2018 2019 2020 2021 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 T65.22

    Toxic effect of tobacco cigarettes

      2016 2017 2018 2019 2020 2021 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 Z85

    Personal history of malignant neoplasm

      2016 2017 2018 2019 2020 2021 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 H66

    Suppurative and unspecified otitis media

      2016 2017 2018 2019 2020 2021 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 I20

    Angina pectoris

      2016 2017 2018 2019 2020 2021 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 I21

    Acute myocardial infarction

      2016 2017 2018 - Revised Code 2019 2020 2021 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 I25

    Chronic ischemic heart disease

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    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 I22

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

      2016 2017 2018 2019 2020 2021 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)

Diagnosis Index entries containing back-references to Z77.22:

External Cause Index entries containing back-references to Z77.22:
  • Exposure (to) X58
    ICD-10-CM Diagnosis Code X58

    Exposure to other specified factors

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Accident NOS
    • Exposure NOS

ICD-10-CM Codes Adjacent To Z77.22
Z77.112 Contact with and (suspected) exposure to soil pollution
Z77.118 Contact with and (suspected) exposure to other environmental pollution
Z77.12 Contact with and (suspected) exposure to hazards in the physical environment
Z77.120 Contact with and (suspected) exposure to mold (toxic)
Z77.121 Contact with and (suspected) exposure to harmful algae and algae toxins
Z77.122 Contact with and (suspected) exposure to noise
Z77.123 Contact with and (suspected) exposure to radon and other naturally occurring radiation
Z77.128 Contact with and (suspected) exposure to other hazards in the physical environment
Z77.2 Contact with and (suspected) exposure to other hazardous substances
Z77.21 Contact with and (suspected) exposure to potentially hazardous body fluids
Z77.22 Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
Z77.29 Contact with and (suspected) exposure to other hazardous substances
Z77.9 Other contact with and (suspected) exposures hazardous to health
Z78 Other specified health status
Z78.0 Asymptomatic menopausal state
Z78.1 Physical restraint status
Z78.9 Other specified health status
Z79 Long term (current) drug therapy
Z79.0 Long term (current) use of anticoagulants and antithrombotics/antiplatelets
Z79.01 Long term (current) use of anticoagulants
Z79.02 Long term (current) use of antithrombotics/antiplatelets

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