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Initial screening visit coding: Primary diagnosis: Z12.2 (Encounter for screening for malignant neoplasm of respiratory organs) Risk factors: F17.210 (current smoker) or Z87.891 (former smoker) This applies when NO nodules are found on the screening CT Screening that identifies a nodule: Primary diagnosis: R91.1 (if solitary nodule found) or R91.8 (if multiple nodules found) Secondary diagnosis: Z12.2 can still be included to show this was a screening encounter Risk factors: Include tobacco codes Subsequent surveillance imaging: Once a nodule is found, follow-up CTs are no longer "screening",they're diagnostic surveillance
Tobacco can be found in cigarettes, cigars, dip, chew, snuff or vape products
Theres been plenty of scientific debate about whether vaping is safer than tobacco, and whether it may help some people stop smoking
Frequent tamping is necessary in order to keep the heat under control
Development and psychopathology