Patient presents with nicotine dependence, characterized by continued tobacco use despite harmful effects, consistent with DSM-5 criteria for tobacco use disorder.  The patient reports smoking [number] cigarettes per day for [duration] years and exhibits symptoms including craving, withdrawal symptoms (e.g., irritability, difficulty concentrating, increased appetite), and unsuccessful quit attempts.  Physical examination may reveal signs consistent with chronic tobacco exposure such as nicotine staining of fingers or teeth, and breath sounds may indicate early chronic obstructive pulmonary disease (COPD).  Assessment includes Fagerstrom Test for Nicotine Dependence (FTND) score of [score], indicating [severity level: low, moderate, high] nicotine dependence.  Patient education provided on smoking cessation strategies, including nicotine replacement therapy (NRT), bupropion, varenicline, and behavioral counseling.  Risks of continued smoking, including cardiovascular disease, lung cancer, and COPD, were discussed.  Patient expressed [level of motivation: high, moderate, low] motivation to quit smoking.  Plan includes referral to smoking cessation program and follow-up appointment scheduled in [timeframe] to monitor progress and adjust treatment as needed.  ICD-10 code F17.210 (Nicotine dependence, cigarettes) assigned.  CPT codes for counseling and pharmacotherapy will be determined based on services provided.