Z77.22: Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
Z77.22 is a billable, specific ICD-10-CM code for contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic). It is valid for submission on a claim.
Check Z77.22 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- occupational exposure to environmental tobacco smoke (Z57.31)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Exposure to second hand tobacco smoke (acute) (chronic)
- Passive smoking (acute) (chronic)
Excludes2 inherited from the categories above Z77.22
Not part of this code, but both may be coded when both are present.
Written on Z77: Other contact with and (suspected) exposures hazardous to health
- 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 codes that can never be billed with Z77.22
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z77.22 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56448Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Alphabetic index entries that lead here
- Second hand tobacco smoke exposure(acute) (chronic)
- Exposure›environmental tobacco smoke(acute) (chronic)
- Exposure›second hand tobacco smoke(acute) (chronic)
- Passive›smoking
- Smoking›passive
- Exposure›smoke›tobacco, second hand
Code history
Unchanged in every release from FY2024 to FY2027.