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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
Cotinine, a primary metabolite of nicotine, is often tested instead and can remain detectable for up to two weeks or more in regular users
Key trends include the shift towards e-cigarettes and heated tobacco systems, with a focus on innovation and brand loyalty
Stroke 43: 7985
Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health
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