Is Z87.891 a billable ICD-10-CM code?

Yes. Z87.891 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z87.891 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

What cannot be coded together with Z87.891?

Z87.891 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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.

Excludes1 — never code together

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

current nicotine dependence (F17.2-)

Other codes that can never be billed with Z87.891

These codes carry an Excludes1 note pointing at Z87.891. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z87.891 alone.

F17Nicotine dependence
Z72.0Tobacco use

Risk adjustment

Z87.891 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Z87.891 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How Z87.891 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z87.891.

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

Related codes at this level

Codes that share Z87.89. If Z87.891 is not quite right, the correct code is usually one of these.

Questions about Z87.891

Is Z87.891 a billable ICD-10-CM code?: Yes. Z87.891 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z87.891 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
What cannot be coded together with Z87.891?: Z87.891 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.