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ICD-10 Guide
ICD-10 CodesF17.211

F17.211

Billable

Nicotine dependence, cigarettes, in remission

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

Code Description

ICD-10 F17.211 is a billable code used to indicate a diagnosis of nicotine dependence, cigarettes, in remission.

Key Diagnostic Point:

F17.211 refers to a condition characterized by a strong psychological and physical dependence on nicotine derived from cigarette smoking, which is currently in remission. This means that the individual has ceased smoking and is not experiencing withdrawal symptoms or cravings for nicotine. Nicotine dependence is classified as a substance use disorder, where the individual exhibits a compulsive pattern of tobacco use despite the awareness of its harmful effects. The remission status indicates that the individual has maintained abstinence for a specified period, typically at least 12 months, and is not currently engaging in tobacco use. Treatment for nicotine dependence often includes behavioral therapies, counseling, and pharmacotherapy such as nicotine replacement therapy (NRT) or prescription medications like varenicline or bupropion. Understanding the nuances of this diagnosis is crucial for effective treatment planning and monitoring, as well as for accurate coding and billing purposes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between active dependence and remission status.
  • Understanding the criteria for remission and its duration.
  • Navigating the various treatment modalities and their documentation.
  • Recognizing co-occurring substance use disorders.

Audit Risk Factors

  • Inadequate documentation of remission status.
  • Failure to document the duration of abstinence.
  • Misclassification of active dependence versus remission.
  • Lack of evidence for treatment interventions.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed patient history, treatment plans, and follow-up notes.

Common Clinical Scenarios

Patients in recovery from nicotine dependence seeking support for relapse prevention.

Billing Considerations

Documentation must clearly indicate the remission status and any ongoing treatment or support.

Primary Care

Documentation Requirements

Routine screening for tobacco use, cessation efforts, and follow-up on patient progress.

Common Clinical Scenarios

Patients presenting for routine check-ups who have a history of smoking.

Billing Considerations

Primary care providers should document any counseling or pharmacotherapy provided.

Coding Guidelines

Inclusion Criteria

Use F17.211 When
  • According to ICD
  • 10 guidelines, F17
  • 211 should be used when a patient has a documented history of nicotine dependence but is currently in remission
  • Documentation must support the remission status, including the duration of abstinence and any treatment interventions

Exclusion Criteria

Do NOT use F17.211 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit, intermediate

Clinical Scenario

Used when a patient in remission is receiving counseling to prevent relapse.

Documentation Requirements

Document the counseling session details and patient progress.

Specialty Considerations

Addiction specialists may provide more intensive counseling.

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, enabling better tracking of treatment outcomes and remission status. This specificity aids in research and quality improvement initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nicotine dependence, enabling better tracking of treatment outcomes and remission status. This specificity aids in research and quality improvement initiatives.

Reimbursement & Billing Impact

reimbursement and compliance.

Resources

Clinical References

  • •
    American Psychiatric Association - DSM-5

Coding & Billing References

  • •
    American Psychiatric Association - DSM-5

Frequently Asked Questions

What does 'in remission' mean in the context of nicotine dependence?

In remission indicates that the individual has not used nicotine for a specified period, typically at least 12 months, and is not experiencing withdrawal symptoms or cravings.