Z87.891

Z87.891: Personal history of nicotine dependence

Billable / specific codeICD-10-CMPOA exempt

Z87.891 is a billable, specific ICD-10-CM code for personal history of nicotine dependence. It is valid for submission on a claim.

Check Z87.891 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.

current nicotine dependence (F17.2-)

Excludes2 inherited from the categories above Z87.891

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

Written on Z87.8: Personal history of other specified conditions

personal history of self harm (Z91.5-)

Other codes that can never be billed with Z87.891

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

F17Nicotine dependence
Z72.0Tobacco use

Risk adjustment

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

Medicare coverage

Z87.891 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54799Billing and Coding: Urine Drug Testing
A56915Billing and Coding: Urine Drug Testing
A59416Billing and Coding: Urine Drug Testing

Alphabetic index entries that lead here

History›personal›nicotine dependence
History›personal›tobacco dependence
Tobacco›use›history

Code history

Unchanged in every release from FY2024 to FY2027.