2025 ICD-10-CM code F17.29
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Mental disorders - Mental and behavioral disorders due to psychoactive substance use Chapter V: Mental and behavioural disorders Feed
Nicotine dependence involving tobacco products other than cigarettes and chewing tobacco.
Modifiers may be applicable depending on the circumstances of service. Consult payer-specific guidelines.
Medical necessity for the diagnosis and treatment of nicotine dependence is established by the presence of symptoms that significantly impact the patient's daily functioning and well-being. This may include physical symptoms (e.g., withdrawal), psychological symptoms (e.g., anxiety, depression), and interference with social and occupational activities.Treatment should be aligned with established clinical guidelines.
The clinical responsibility for diagnosing and managing nicotine dependence typically falls on healthcare professionals such as physicians (especially primary care physicians, addiction specialists, or psychiatrists), nurse practitioners, physician assistants, or other licensed healthcare practitioners qualified to assess and treat substance use disorders.This may involve taking a detailed history, using standardized questionnaires (such as the Fagerstrom Test for Nicotine Dependence), and considering nicotine replacement therapy or other pharmacological interventions in combination with behavioral counseling strategies.
- Chapter V: Mental and behavioural disorders
- F17.29 is under the broader category of F17 (Nicotine dependence) within Chapter V: Mental and behavioural disorders, specifically within the subcategory ofMental and behavioral disorders due to psychoactive substance use (F10-F19).
In simple words: This code is for people who are addicted to nicotine from sources other than regular cigarettes or chewing tobacco, like vaping, cigars, or pipes.It means they can't stop using these products even though they know it's harmful, and they experience problems if they try to quit.
This code classifies nicotine dependence resulting from the use of tobacco products excluding cigarettes and chewing tobacco.The diagnosis requires evidence of a behavioral pattern of nicotine use despite harmful consequences, coupled with physiological or psychological withdrawal symptoms upon cessation.This encompasses various forms of tobacco use such as electronic cigarettes, smokeless tobacco (excluding chewing tobacco), bidis, cigars, pipes, and hookah.
Example 1: A patient presents with symptoms of nicotine withdrawal (irritability, anxiety, difficulty concentrating) after attempting to quit using an e-cigarette. The provider diagnoses nicotine dependence, other tobacco product (F17.29)., A patient is hospitalized for exacerbation of chronic obstructive pulmonary disease (COPD) and admits to long-term use of a pipe tobacco. The provider diagnoses nicotine dependence, other tobacco product (F17.29) along with the COPD diagnosis., A patient seeks treatment for nicotine dependence after multiple unsuccessful attempts to quit using smokeless tobacco (excluding chewing tobacco).The provider documents the presence of intense cravings and other withdrawal symptoms.
Detailed patient history including the type and duration of tobacco product use, frequency of use, attempts at cessation, and presence of withdrawal symptoms.Documentation should also include the provider's assessment of the severity of the dependence, the use of standardized assessment tools (if any), and the treatment plan.
** This code is intended for nicotine dependence resulting from the use of tobacco products other than cigarettes and chewing tobacco.Care should be taken to select the appropriate 7th character code to specify the clinical presentation. Always review current NCCI edits and payer specific guidelines for accurate coding and billing.
- Revenue Code: Revenue codes will vary depending on the payer and the specific services provided.Consult payer-specific guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes. Reimbursement is determined by various factors including the place of service, payer, and other services provided.
- Global Days: Not applicable to this diagnosis code.
- Payment Status: Active
- Modifier TC rule: Not applicable to this diagnosis code.
- Fee Schedule: Not applicable.ICD-10 codes do not have associated fee schedules.
- Specialties:Primary care, addiction medicine, psychiatry
- Place of Service:Office, Hospital (inpatient or outpatient), Urgent Care, Telehealth