Find information on tobacco abuse diagnosis, including clinical documentation, medical coding (ICD-10 F17.200, F17.201, other F17 codes), screening tools, and treatment options. Learn about nicotine dependence, cessation strategies, and healthcare resources for patients with tobacco use disorder. Explore relevant medical terminology, diagnostic criteria, and best practices for documenting tobacco abuse in patient charts for accurate billing and reimbursement.
Also known as
Nicotine dependence
Disorders related to nicotine use, including tobacco abuse and dependence.
Tobacco use
Current tobacco use status, including smoking, chewing, and other forms.
Toxic effect of nicotine
Poisoning and other toxic effects caused by nicotine exposure.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is tobacco use causing current health issues?
Yes
Is it tobacco dependence?
No
Is there personal history of tobacco dependence?
When to use each related code
| Description |
|---|
| Tobacco dependence, active use |
| Nicotine dependence |
| Tobacco use disorder, unspecified |
Coding F17.200, Tobacco dependence, unspecified, without documentation of nicotine dependence leads to inaccurate severity and reimbursement.
Confusing history of tobacco use (Z87.891) with current use (F17.-) creates coding errors impacting quality metrics and treatment plans.
Failing to code related diagnoses like COPD or lung cancer with tobacco abuse understates patient complexity for risk adjustment and resource allocation.
Patient presents with tobacco use disorder, exhibiting signs and symptoms consistent with nicotine dependence. The patient reports a history of daily cigarette smoking, averaging [number] cigarettes per day for [duration] years. Current symptoms include craving for cigarettes, difficulty quitting, and withdrawal symptoms such as irritability, anxiety, and difficulty concentrating when attempting cessation. The patient acknowledges the health risks associated with tobacco use, including increased risk of lung cancer, COPD, cardiovascular disease, and other tobacco-related illnesses. Social history reveals environmental tobacco smoke exposure. The patient's Fagerstrom Test for Nicotine Dependence score is [score], indicating [level of dependence: low, moderate, or high]. Diagnosis of tobacco abuse (ICD-10: F17.20) is confirmed based on patient self-report, clinical presentation, and diagnostic criteria. Treatment plan includes discussion of smoking cessation strategies, including nicotine replacement therapy (NRT), bupropion, varenicline, and counseling. Patient education provided on the benefits of quitting smoking and available resources for support. Referral to smoking cessation program offered. Follow-up scheduled to monitor progress and adjust treatment plan as needed. Patient advised on the importance of adherence to the treatment plan for optimal outcomes and to minimize relapse. Prognosis for successful smoking cessation is dependent on patient motivation and adherence to the prescribed treatment. Potential complications of continued tobacco use were discussed, emphasizing the urgency of cessation.