MCMedicalCodingSoftware
F17.21

F17.21: Nicotine dependence, cigarettes

Non-billable headerICD-10-CM

F17.21 is a non-billable header ICD-10-CM code for nicotine dependence, cigarettes. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above F17.21

A category’s note binds every code beneath it.

Written on F17: Nicotine dependence

  • history of tobacco dependence (Z87.891)
  • tobacco use NOS (Z72.0)

Excludes2 inherited from the categories above F17.21

Not part of this code, but both may be coded when both are present.

Written on F17: Nicotine dependence

  • tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
  • toxic effect of nicotine (T65.2-)

Other codes that can never be billed with F17.21

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • Z77.22Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead F17.21

5 child codes. Green means billable.

Other codes under F17.2

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.