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Z72.0
ICD-10-CM
Tobacco Use

Find information on tobacco use disorder diagnosis, including clinical documentation, ICD-10 codes (F17.200, F17.201, F17.210, F17.211, and others), medical coding guidelines, and healthcare resources for screening, cessation, and treatment. Learn about nicotine dependence, current tobacco use, daily cigarette use, and the impact of tobacco smoking on health. Explore accurate medical coding and compliant documentation practices for effective tobacco dependence treatment.

Also known as

Smoking
Nicotine Use
Tobacco Dependence

Diagnosis Snapshot

Key Facts
  • Definition : Addiction to nicotine found in tobacco products like cigarettes, cigars, and chewing tobacco.
  • Clinical Signs : Cravings, withdrawal symptoms (irritability, anxiety), persistent cough, stained teeth.
  • Common Settings : Primary care, smoking cessation clinics, addiction treatment centers.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z72.0 Coding
F17

Nicotine dependence

Mental and behavioural disorders due to nicotine use.

Z72.0

Tobacco use

Current tobacco use as a factor influencing health status.

T65.2

Toxic effect of tobacco

Poisoning by, adverse effect of and underdosing of tobacco.

Z87.891

Personal history of nicotine dependence

Personal history of nicotine dependence affecting current health status.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Current tobacco user?

  • Yes

    Cigarette smoker?

  • No

    History of tobacco use?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Tobacco Use Disorder
Nicotine Dependence
Tobacco Withdrawal

Documentation Best Practices

Documentation Checklist
  • Tobacco type (cigarettes, cigars, etc.)
  • Frequency and amount (daily use, packs/day)
  • Duration of tobacco use (years)
  • Status (current, former, never)
  • ICD-10 code (e.g., F17.200)

Coding and Audit Risks

Common Risks
  • Unspecified Tobacco Use

    Coding F17.9 (Nicotine dependence, unspecified) when more specific documentation like frequency or type is available, impacting reimbursement and data accuracy.

  • History vs. Current Use

    Incorrectly coding history of tobacco use (Z87.891) as current use, leading to inaccurate quality reporting and risk adjustment.

  • Comorbidity Documentation

    Lack of documentation linking tobacco use to related conditions like COPD or lung cancer, impacting severity scores and potential denial of claims.

Mitigation Tips

Best Practices
  • Document type/frequency of tobacco use.
  • Specify current vs. past tobacco use.
  • Use SNOMED CT for detailed tobacco data.
  • ICD-10-CM Z72.0 for current tobacco user.
  • F17.- codes capture tobacco dependence.

Clinical Decision Support

Checklist
  • Ask: Do you currently use tobacco products?
  • Document type, amount, frequency, and duration of tobacco use.
  • Screen for tobacco-related health risks (ICD-10: F17).
  • Advise on cessation resources and document patient response (SNOMED CT: 428041000124105).

Reimbursement and Quality Metrics

Impact Summary
  • Tobacco Use Diagnosis Reimbursement and Quality Metrics Impact Summary
  • ICD-10 Codes: F17.*, Z72.0, Z87.891 Medical Coding, Billing, Healthcare Claim
  • Impact 1: Accurate coding maximizes reimbursement for tobacco cessation counseling.
  • Impact 2: Impacts quality metrics related to preventative care and chronic disease management.
  • Impact 3: Data informs hospital reporting on population health and resource allocation.
  • Impact 4: Proper coding facilitates accurate risk adjustment for value-based care models.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code F17.- for nicotine dependence
  • Document frequency, amount for tobacco use
  • Specify current vs former tobacco use
  • Use Z72.0 for tobacco cessation counseling
  • Query physician for unclear tobacco history

Documentation Templates

Patient presents with tobacco use disorder.  Assessment reveals current nicotine dependence, as evidenced by patient report of daily cigarette smoking for the past 10 years, averaging one pack per day.  Patient reports unsuccessful quit attempts in the past and expresses current motivation to quit.  Symptoms related to tobacco use include frequent coughing, shortness of breath with exertion, and occasional wheezing.  Physical examination reveals decreased breath sounds bilaterally.  Diagnosis of tobacco use disorder (F17.200) is confirmed.  Plan includes discussion of smoking cessation options including nicotine replacement therapy (NRT), bupropion, varenicline, and counseling.  Patient education provided on the health risks of smoking, benefits of quitting, and available resources.  Referral to smoking cessation program recommended.  Follow-up scheduled in two weeks to monitor progress and adjust treatment plan as needed.  ICD-10 code F17.200, tobacco dependence, unspecified, is documented for billing and coding purposes.  CPT codes for smoking cessation counseling and pharmacotherapy management will be applied based on services rendered.  Keywords: Tobacco use disorder, nicotine dependence, smoking cessation, nicotine replacement therapy, bupropion, varenicline, counseling, ICD-10 F17.200, CPT codes, quit smoking, cigarette smoking, health risks of smoking, lung health, respiratory symptoms, medical coding, healthcare documentation, electronic health records.
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