Occupational exposure to environmental tobacco smoke
ICD-10 Z57.31 is a billable code used to indicate a diagnosis of occupational exposure to environmental tobacco smoke.
Z57.31 is used to indicate a patient's occupational exposure to environmental tobacco smoke (ETS), which is a significant health risk factor. This exposure can lead to various health issues, including respiratory problems, cardiovascular diseases, and increased risk of cancer. The clinical context for this code involves understanding the patient's work environment, where they may be exposed to ETS, often in settings such as bars, restaurants, or workplaces where smoking is prevalent. Social determinants of health play a crucial role, as individuals in lower socioeconomic positions may have higher exposure due to less control over their work environments. Preventive care strategies include educating patients about the risks of ETS, encouraging smoking cessation programs, and advocating for smoke-free workplace policies. Screening for related health issues, such as respiratory function tests, may also be warranted. Aftercare may involve follow-up visits to monitor any health changes related to ETS exposure.
Document the patient's occupational history, exposure duration, and any related health issues.
Routine checkups where exposure to ETS is assessed, screenings for respiratory conditions, and follow-up visits for related health issues.
Consider social determinants such as socioeconomic status and access to smoking cessation resources.
Collect population-level data on ETS exposure and its health impacts.
Epidemiological studies assessing the prevalence of ETS exposure in various occupational settings.
Focus on health status tracking and the effectiveness of public health interventions.
Used during a visit where the patient discusses ETS exposure and smoking cessation.
Document the counseling session and any resources provided to the patient.
Primary care providers should focus on preventive measures and health education.
Z57.31 should be used when a patient has documented occupational exposure to environmental tobacco smoke that is relevant to their health status, particularly when assessing respiratory or cardiovascular conditions.
