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ICD-10 Guide
ICD-10 CodesF17.219

F17.219

Billable

Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders

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

Code Description

ICD-10 F17.219 is a billable code used to indicate a diagnosis of nicotine dependence, cigarettes, with unspecified nicotine-induced disorders.

Key Diagnostic Point:

Nicotine dependence is characterized by a strong desire to consume nicotine, often leading to compulsive use despite harmful consequences. This condition is primarily associated with cigarette smoking, where individuals may experience withdrawal symptoms when attempting to quit. Symptoms can include irritability, anxiety, increased appetite, and cravings. Nicotine dependence can lead to various nicotine-induced disorders, which may include mood disorders, anxiety disorders, and other substance use disorders. The unspecified nature of the nicotine-induced disorders in this code indicates that the specific disorder has not been clearly defined or diagnosed. Treatment often involves behavioral therapies, pharmacotherapy such as nicotine replacement therapy (NRT), and counseling to support cessation efforts. Understanding the complexities of nicotine dependence is crucial for effective management and coding, as it encompasses both the physiological and psychological aspects of addiction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of nicotine-induced disorders
  • Need for comprehensive patient history to establish dependence
  • Differentiation from other substance use disorders
  • Potential for co-occurring mental health conditions

Audit Risk Factors

  • Inadequate documentation of nicotine dependence
  • Failure to specify nicotine-induced disorders
  • Inconsistent coding of withdrawal symptoms
  • Lack of evidence for treatment interventions

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed patient history, including smoking history, withdrawal symptoms, and treatment plans.

Common Clinical Scenarios

Patients seeking help for smoking cessation, experiencing withdrawal symptoms, or presenting with co-occurring mental health issues.

Billing Considerations

Documentation must clearly outline the patient's nicotine dependence and any associated disorders to support the diagnosis.

Psychiatry

Documentation Requirements

Comprehensive mental health assessments, including evaluation of nicotine dependence and its impact on mental health.

Common Clinical Scenarios

Patients with anxiety or mood disorders who also smoke, requiring integrated treatment approaches.

Billing Considerations

Consideration of the interplay between nicotine dependence and psychiatric conditions is essential for accurate coding.

Coding Guidelines

Inclusion Criteria

Use F17.219 When
  • According to ICD
  • 10 guidelines, F17
  • 219 should be used when a patient is diagnosed with nicotine dependence and the specific nicotine
  • induced disorder is not specified
  • Coders should ensure that documentation supports the diagnosis and reflects the patient's treatment plan

Exclusion Criteria

Do NOT use F17.219 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 is receiving counseling for smoking cessation.

Documentation Requirements

Document the duration of counseling and the patient's smoking history.

Specialty Considerations

Addiction specialists may provide more intensive counseling sessions.

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 public health data. F17.219 provides a clear framework for documenting cases where the specific nicotine-induced disorder is not identified.

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 public health data. F17.219 provides a clear framework for documenting cases where the specific nicotine-induced disorder is not identified.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nicotine dependence, enabling better tracking of treatment outcomes and public health data. F17.219 provides a clear framework for documenting cases where the specific nicotine-induced disorder is not identified.

Resources

Clinical References

  • •
    American Academy of Addiction Psychiatry

Coding & Billing References

  • •
    American Academy of Addiction Psychiatry

Frequently Asked Questions

What is the difference between F17.219 and F17.210?

F17.219 is used when nicotine dependence is present without specified withdrawal symptoms, while F17.210 is used when withdrawal symptoms are documented.