Pneumonitis from Vaping

laura.rogers@franciscanalliance.orglaura.rogers@franciscanalliance.org
in General

Our college-town hospitals are beginning to see young adults with pneumonitis from vaping.  From the literature searches, this seems to be classed as a hypersensitivity pneumonitis from the chemicals in the pods rather than a water-based pneumonitis like drowning.  The treatment tends to be steroids with ventilator support in severe cases. 

J680 "Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors" seems to be to be the closest match I have found, but our Coding department is not sure it is the best fit. 

What diagnosis code are you using for these cases?

Thanks you so much!

Laura Rogers 

Franciscan Alliance

Indianapolis IN


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Comments

  • BTC2018BTC2018
    Hypersensitivity Pneumonitis is due to dust, fungus or molds, so that does not seem to fit. If no specific substance is identified, J68.0 with T59.9- code (see code first under J68-) when stated as pneumonitis. If THC is identified as causative agent, T40.7X5- sequenced first. Other suggestions? 
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