ICD-10-CM Code Z77.22

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

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

Z77.22 is a billable code used to specify a medical diagnosis of contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic). The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z77.22 might also be used to specify conditions or terms like exposed to tobacco smoke at home, exposed to tobacco smoke at work, exposed to tobacco smoke in public places, exposure to second hand tobacco smoke, history of exposure to second hand smoke, non-smoker's second hand smoke syndrome, etc

The code Z77.22 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

ICD-10:Z77.22
Short Description:Cntct w and expsr to environ tobacco smoke (acute) (chronic)
Long Description:Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z77.22:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Exposure to second hand tobacco smoke (acute) (chronic)
  • Passive smoking (acute) (chronic)

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • nicotine dependence F17
  • tobacco use Z72.0

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • occupational exposure to environmental tobacco smoke Z57.31

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z77.22 are found in the index:


Index of External Cause of Injuries

References found for the code Z77.22 in the External Cause of Injuries Index:

    • Exposure(to)
      • smoke
        • tobacco, second hand

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Exposed to tobacco smoke at home
  • Exposed to tobacco smoke at work
  • Exposed to tobacco smoke in public places
  • Exposure to second hand tobacco smoke
  • History of exposure to second hand smoke
  • Non-smoker's second hand smoke syndrome
  • Passive smoker
  • Smoker in home
  • Toxic effect of secondary tobacco exposure

Convert Z77.22 to ICD-9

  • V15.89 - Hx-health hazards NEC (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
      • Oth contact w and exposures hazardous to health (Z77) (suspected)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Secondhand Smoke

Secondhand smoke is a mixture of the smoke that comes from the burning end of a cigarette, cigar, or pipe, and the smoke breathed out by the smoker. It contains more than 7,000 chemicals. Hundreds of those chemicals are toxic and about 70 can cause cancer.

Health effects of secondhand smoke include

  • Ear infections in children
  • More frequent and severe asthma attacks in children
  • Heart disease and lung cancer in adults who have never smoked

There is no safe amount of secondhand smoke. Even low levels of it can be harmful. The only way to fully protect nonsmokers from secondhand smoke is not to allow smoking indoors.

Centers for Disease Control and Prevention


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