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Z72.0

Z72.0: Tobacco use

Billable / specific codeICD-10-CMPOA exempt

Z72.0 is a billable, specific ICD-10-CM code for tobacco use. It is valid for submission on a claim.

Check Z72.0 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • history of tobacco dependence (Z87.891)
  • nicotine dependence (F17.2-)
  • tobacco dependence (F17.2-)
  • tobacco use during pregnancy (O99.33-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Tobacco use NOS

Excludes2 inherited from the categories above Z72.0

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

Written on Z72: Problems related to lifestyle

  • problems related to life-management difficulty (Z73.-)
  • problems related to socioeconomic and psychosocial circumstances (Z55-Z65)

Other codes that can never be billed with Z72.0

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

  • F17Nicotine dependence
  • 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.

Alphabetic index entries that lead here

  • Tobacco›harmful use
  • Tobacco›use
  • Use›tobacco
  • Problem›life-style›tobacco use

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z72

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.