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Tobacco abuse counseling. Z71.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM Z71.6 became effective on October 1, 2024. This is the American ICD-10-CM version of Z71.6 - other international versions of ICD-10 Z71.6 may differ.
The following ICD-10-CM codes for Smoking Cessation are billable: Z87.891 - Yes, billable: Personal history of nicotine dependence is eligible for reimbursement when accurately coded. Z87.892 - Yes, billable: Personal history of tobacco use can be billed when documented accurately.
The first decision a provider must make when diagnosing for tobacco use is whether to use an ICD-10 F17 code or a Z code. The F codes are from the Mental and Behavioral Disorder category.
Medicare Part B covers two levels of tobacco cessation counseling for symptomatic and asymptomatic patients: intermediate and intensive. Two cessation attempts are covered per 12-month period.
ICD-10-CM coding: F17.218 Nicotine dependence, cigarettes, with other nicotine-induced disorders J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation. Know Your Patient Coverage. If your clinic is just beginning to provide these services to your patient population, it’s best to verify coverage criteria prior to claim submission.
Overview of the Diagnostic Coding System: ICD-10. Nicotine Use vs. Dependence. Remission/Withdrawal. Coding Tobacco Use - Pregnancy, Childbirth and the Puerperium . Coding Tobacco and Secondhand Smoke Exposure. Coding Past History of Nicotine Dependence.
All payers require the use of ICD-10 codes and documentation regarding medical necessity and the specifics of what was provided in order to receive payment. Coding is not sufficient .
Tobacco Cessation Coding Resources. Use the medical coding tables below to easily diagnose and refer patients to tobacco cessation programs. Click here or scan the QR code to access Comagine Health’s Tobacco Cessation Toolkit.
This is Appendix 4 of the ADA publication titled CDT 2023 Companion that is published to describe the type of services that would be reported with CDT code D1320 tobacco counseling for the control and prevention of oral disease, and the applicable ICD-10-CM diagnosis codes.
There are two CPT time-based codes that are reported for smoking cessation counseling with patients, 99406 and 99407.