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ICD-10 Guide
ICD-10 CodesF17.218

F17.218

Billable

Nicotine dependence, cigarettes, with other nicotine-induced disorders

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

Code Description

ICD-10 F17.218 is a billable code used to indicate a diagnosis of nicotine dependence, cigarettes, with other nicotine-induced disorders.

Key Diagnostic Point:

Nicotine dependence is characterized by a strong craving for 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, difficulty concentrating, and increased appetite. The diagnosis of nicotine dependence is typically made when an individual exhibits tolerance (needing more nicotine to achieve the same effect) and withdrawal symptoms upon cessation. Treatment options include behavioral therapies, pharmacotherapy (such as nicotine replacement therapy and prescription medications like varenicline), and support groups. Understanding the complexities of nicotine dependence is crucial for effective management and coding, as it often requires a multidisciplinary approach to address both the addiction and any associated health issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Co-occurrence with other nicotine-induced disorders complicates diagnosis.
  • Variability in withdrawal symptoms can affect treatment coding.
  • Documentation must clearly differentiate between dependence and other nicotine-related conditions.
  • Treatment plans may involve multiple specialties, requiring comprehensive documentation.

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms.
  • Failure to specify the type of nicotine-induced disorder.
  • Lack of evidence for treatment plans and follow-up.
  • Misclassification of nicotine dependence severity.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure comprehensive documentation of co-occurring mental health disorders.

Pulmonology

Documentation Requirements

Assessment of respiratory health, smoking history, and impact on lung function.

Common Clinical Scenarios

Patients with COPD or lung cancer related to smoking history.

Billing Considerations

Document the relationship between nicotine dependence and respiratory conditions.

Coding Guidelines

Inclusion Criteria

Use F17.218 When
  • According to ICD
  • 10 guidelines, F17
  • 218 should be used when a patient has a documented diagnosis of nicotine dependence along with other nicotine
  • induced disorders
  • Proper documentation must include the specific disorders and symptoms present

Exclusion Criteria

Do NOT use F17.218 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 during a visit for counseling on smoking cessation.

Documentation Requirements

Document the time spent on counseling and the patient's progress.

Specialty Considerations

Addiction specialists should ensure comprehensive assessments are included.

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 associated disorders, improving the ability to track treatment outcomes and healthcare utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nicotine dependence and associated disorders, improving the ability to track treatment outcomes and healthcare utilization.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nicotine dependence and associated disorders, improving the ability to track treatment outcomes and healthcare utilization.

Resources

Clinical References

  • •
    American Academy of Addiction Psychiatry

Coding & Billing References

  • •
    American Academy of Addiction Psychiatry

Frequently Asked Questions

What are the key symptoms of nicotine withdrawal?

Key symptoms include irritability, anxiety, difficulty concentrating, increased appetite, and cravings for nicotine.