Patient presents today for smoking cessation counseling and treatment.  The patient reports a history of nicotine dependence, indicating a desire to quit smoking.  Chief complaint documented as "want to quit smoking".  Social history reveals a __ pack-year smoking history (quantify).  Patient reports symptoms consistent with nicotine withdrawal including increased anxiety, irritability, difficulty concentrating, and cravings.  Current vital signs are stable.  Lung sounds are clear.  Diagnosis of tobacco use disorder (F17.200) is confirmed based on DSM-5 criteria.  Patient education provided regarding the health risks of smoking, benefits of quitting, and available treatment options including nicotine replacement therapy (NRT), bupropion, varenicline, and behavioral counseling.  Discussed potential side effects of pharmacotherapy and emphasized the importance of lifestyle modifications, such as regular exercise and stress management techniques.  Patient expresses understanding and motivation to quit.  A treatment plan was developed collaboratively, including a combination of NRT and behavioral therapy.  Follow-up appointment scheduled in two weeks to monitor progress, address withdrawal symptoms, and provide ongoing support.  Patient provided with resources for smoking cessation support groups and online tools.  ICD-10 code F17.200, tobacco use disorder, uncomplicated, was assigned for billing and coding purposes.  CPT codes for counseling and pharmacotherapy will be assigned based on the specific services rendered during the visit.