2025 ICD-10-CM code Z87.891
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to family and personal history and certain conditions influencing health status Chapter 21: Factors influencing health status and contact with health services Feed
Personal history of nicotine dependence; this code is used to indicate a past history of nicotine dependence, not current dependence.
The medical necessity for coding Z87.891 is based on its relevance to the patient's current health status and the reason for the encounter. The code is medically necessary when the history of nicotine dependence provides relevant information for managing the patient's current health condition, including risk assessment, preventative care, or treatment planning.This is especially relevant in specific clinical contexts, such as those involving family history of respiratory diseases, genetic counseling, or conditions where prior substance use could be a contributing factor.
The clinical responsibility for coding Z87.891 lies with the physician or qualified healthcare professional who is documenting the patient's history and determining the relevance of the past nicotine dependence to the current clinical encounter.Accurate documentation is crucial for appropriate coding.
- Chapter 21: Factors influencing health status and contact with health services
- Z87.891 falls under the broader category of Z87 (Personal history of other diseases and conditions), specifically within the subcategory Z87.8 (Personal history of other specified conditions).
In simple words: This code means the person had a nicotine addiction in the past but does not currently have an addiction.It's used when this past addiction is important information for their current doctor visit.
Z87.891, Personal history of nicotine dependence, is an ICD-10-CM code used to document a past history of nicotine dependence.This code should be used when the individual no longer meets the criteria for current nicotine dependence (F17.2-). It indicates a past instance of nicotine dependence that has resolved or is in remission, and the individual is not currently experiencing symptoms or exhibiting behaviors consistent with active nicotine dependence.The code is specifically for situations where the history of nicotine dependence is relevant to the current encounter, such as in risk assessment or preventative care.It should not be used if the patient is currently experiencing nicotine dependence.
Example 1: A 60-year-old male patient presents for a routine physical examination.He reports a history of smoking for 30 years but quit five years ago.Z87.891 would be appropriate as a secondary diagnosis to document the history of nicotine dependence.The primary diagnosis might be related to the current reason for the visit. , A 45-year-old female patient presents for genetic counseling, expressing concern about her family history of lung cancer.She also reveals a personal history of nicotine dependence, which she successfully quit 10 years ago.Z87.891 would be appropriate in this scenario to highlight her risk factors for lung cancer., A 30-year-old patient seeks treatment for anxiety and depression.She mentions a history of nicotine dependence that lasted about three years.The treatment was successful and she successfully quit three years prior.In this case, the Z87.891 code might be used as a secondary code relevant to her overall health and risk factors. The primary diagnosis would reflect the current mental health condition.
Documentation should include a clear statement from the patient about their history of nicotine dependence, including the duration of the addiction, the date of cessation, and any relevant treatment received.The physician's assessment of the patient's current status regarding nicotine dependence should also be documented.
** Z87.891 is a historical code. It's vital to confirm that the patient is not currently experiencing nicotine dependence. If current dependence exists, codes from the F17 category should be used.Always ensure proper documentation supports the use of this code.
- Payment Status: Active
- Specialties:Pulmonology, Cardiology, Oncology, Family Medicine, Internal Medicine, Addiction Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Clinic, Telehealth