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2025 ICD-10-CM code F17.219

Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders.

Do not use this code if the specific type of nicotine-induced disorder is documented. Use codes F17.210-F17.218 instead, as appropriate. Also, do not use this code if the patient has a history of tobacco dependence but is not currently dependent (Z87.891).Do not use this code if the patient is using tobacco during pregnancy, childbirth, or the puerperium (O99.33-).This code should not be used if the symptoms are due to the toxic effects of nicotine (T65.2-).

Medical necessity for treatment of nicotine dependence is established by the patient's desire to quit smoking and the presence of dependence and/or withdrawal symptoms.The unspecified nature of any nicotine-induced disorders does not negate the medical necessity of treating the dependence itself.

Providers diagnose nicotine dependence based on patient history, behavioral patterns, and sometimes imaging/lab studies depending on suspected related disorders.Questionnaires are used to assess the severity of dependence. Treatment may include nicotine replacement therapy, counseling, and non-nicotine medications like bupropion and nortriptyline.

In simple words: This code indicates that a person is addicted to cigarettes and is experiencing negative health effects because of their nicotine use. The specific health problems related to their nicotine use are not specified.

This code signifies an ongoing dependence on cigarettes as the source of nicotine, accompanied by unspecified disorders induced by nicotine use.It is characterized by an inability to cease cigarette consumption despite awareness of the detrimental health effects, coupled with physical and/or psychological symptoms upon withdrawal.

Example 1: A patient presents with difficulty concentrating, depressed mood, and increased hunger, and reports ongoing cigarette use despite knowing the risks and wanting to quit.The provider diagnoses nicotine dependence with unspecified nicotine-induced disorder as the patient does not describe specific health issues caused by smoking., A patient with a long history of smoking is experiencing insomnia and anxiety.They admit to failed attempts to quit and continue to smoke regularly. The provider diagnoses nicotine dependence with unspecified nicotine-induced disorder., A patient seeks help for irritability and restlessness. During the consultation, they reveal heavy cigarette use and unsuccessful quit attempts.No specific nicotine-related medical conditions are identified by the physician, resulting in a diagnosis of nicotine dependence with unspecified nicotine-induced disorder.

Documentation should include evidence of nicotine dependence (e.g., patient's reported inability to quit despite harmful effects, withdrawal symptoms), the type of tobacco product used (cigarettes), and the presence of unspecified nicotine-induced disorders, although the specific nature of the disorders need not be documented for this code.

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