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ICD-10 Guide
ICD-10 CodesF17.208

F17.208

Billable

Nicotine dependence, unspecified, with other nicotine-induced disorders

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F17.208 is a billable code used to indicate a diagnosis of nicotine dependence, unspecified, with other nicotine-induced disorders.

Key Diagnostic Point:

Nicotine dependence is characterized by a strong desire to consume nicotine, leading to compulsive use despite harmful consequences. This condition often coexists with other nicotine-induced disorders, such as nicotine withdrawal syndrome, which can manifest as irritability, anxiety, and cravings when nicotine use is reduced or stopped. The unspecified nature of this code indicates that the specific type of nicotine-induced disorder is not clearly defined, allowing for flexibility in coding when the clinician has not specified the exact disorder. Treatment typically involves behavioral therapies, pharmacotherapy (such as nicotine replacement therapy or medications like varenicline), and support programs aimed at cessation. Understanding the nuances of nicotine dependence and its associated disorders is crucial for accurate coding and effective treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of nicotine-induced disorders
  • Need for differentiation between dependence and withdrawal symptoms
  • Potential overlap with other substance use disorders
  • Unspecified nature may lead to ambiguity in coding

Audit Risk Factors

  • Inadequate documentation of nicotine-induced disorders
  • Failure to specify the type of nicotine-induced disorder
  • Misclassification of withdrawal symptoms as dependence
  • Lack of evidence for treatment provided

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of nicotine use, withdrawal symptoms, and treatment plans.

Common Clinical Scenarios

Patients seeking help for smoking cessation, experiencing withdrawal symptoms, or requiring pharmacotherapy.

Billing Considerations

Ensure comprehensive documentation of all nicotine-related disorders and treatment responses.

Psychiatry

Documentation Requirements

Assessment of mental health status, including anxiety or mood disorders related to nicotine use.

Common Clinical Scenarios

Patients with co-occurring mental health issues and nicotine dependence.

Billing Considerations

Document the impact of nicotine dependence on mental health and any concurrent treatment strategies.

Coding Guidelines

Inclusion Criteria

Use F17.208 When
  • Follow ICD
  • CM guidelines for substance use disorders, ensuring accurate documentation of the patient's history and clinical presentation
  • Include any relevant co
  • occurring conditions and specify treatment modalities used

Exclusion Criteria

Do NOT use F17.208 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used during outpatient visits for smoking cessation counseling.

Documentation Requirements

Document the patient's smoking history, cessation attempts, and counseling provided.

Specialty Considerations

Addiction specialists should ensure comprehensive documentation of treatment plans.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nicotine dependence and related disorders, improving the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nicotine dependence and related disorders, improving the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nicotine dependence and related disorders, improving the accuracy of patient records and treatment plans.

Resources

Clinical References

  • •
    American Academy of Addiction Psychiatry

Coding & Billing References

  • •
    American Academy of Addiction Psychiatry

Frequently Asked Questions

What is the difference between nicotine dependence and nicotine withdrawal?

Nicotine dependence refers to the compulsive use of nicotine despite negative consequences, while nicotine withdrawal encompasses the symptoms experienced when nicotine use is reduced or stopped, such as irritability and cravings.