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ICD-10 Guide
ICD-10 CodesF17.293

F17.293

Billable

Nicotine dependence, other tobacco product, with withdrawal

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

Code Description

ICD-10 F17.293 is a billable code used to indicate a diagnosis of nicotine dependence, other tobacco product, with withdrawal.

Key Diagnostic Point:

F17.293 refers to nicotine dependence associated with the use of tobacco products other than cigarettes, such as cigars, pipes, or smokeless tobacco, accompanied by withdrawal symptoms. Nicotine dependence is characterized by a strong craving for nicotine, tolerance to its effects, and withdrawal symptoms when nicotine use is reduced or stopped. Withdrawal symptoms may include irritability, anxiety, difficulty concentrating, increased appetite, and cravings for tobacco. The diagnosis is made based on clinical assessment and the presence of these symptoms following cessation or reduction of tobacco use. Treatment often involves behavioral therapies, counseling, and pharmacotherapy, including nicotine replacement therapies (NRT) and non-nicotine medications like varenicline or bupropion. Understanding the nuances of nicotine dependence and withdrawal is crucial for effective treatment and management, as well as for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various tobacco products used by patients.
  • Identifying withdrawal symptoms accurately.
  • Understanding the patient's history of tobacco use.
  • Documenting the treatment plan and response to therapy.

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms.
  • Failure to specify the type of tobacco product used.
  • Lack of evidence for treatment plans or follow-up.
  • Misclassification of nicotine dependence severity.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use history, withdrawal symptoms, and treatment response.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms after cessation of tobacco use.

Billing Considerations

Ensure accurate documentation of all tobacco products used and the severity of dependence.

Psychiatry

Documentation Requirements

Detailed mental health assessment, including co-occurring disorders.

Common Clinical Scenarios

Patients with nicotine dependence and comorbid mental health conditions.

Billing Considerations

Documenting the impact of nicotine withdrawal on mental health status.

Coding Guidelines

Inclusion Criteria

Use F17.293 When
  • According to ICD
  • 10 guidelines, F17
  • 293 should be used when there is a documented diagnosis of nicotine dependence with withdrawal symptoms
  • It is important to ensure that the withdrawal symptoms are clearly documented in the patient's medical record

Exclusion Criteria

Do NOT use F17.293 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 a patient with nicotine dependence.

Documentation Requirements

Document the duration of counseling and specific cessation strategies discussed.

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 resource allocation for tobacco cessation programs.

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 resource allocation for tobacco cessation programs.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nicotine dependence, enabling better tracking of treatment outcomes and resource allocation for tobacco cessation programs.

Resources

Clinical References

  • •
    American Academy of Family Physicians - Tobacco Cessation

Coding & Billing References

  • •
    American Academy of Family Physicians - Tobacco Cessation

Frequently Asked Questions

What are the withdrawal symptoms associated with nicotine dependence?

Withdrawal symptoms can include irritability, anxiety, difficulty concentrating, increased appetite, and strong cravings for tobacco.