Is ICD-10-CM code F17 billable?

No, F17 (Nicotine dependence) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code F17 belong to?

F17 belongs to Chapter 5 of the ICD-10-CM tabular list: F01–F99 (Mental, Behavioral and Neurodevelopmental Disorders).

F17Not billable, use a more specific code below

Nicotine dependence

In Mental and behavioral disorders due to psychoactive substance use (F10-F19), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders

20 billable codes under F17: 4 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Excludes1: not coded here, use a different code

history of tobacco dependence (Z87.891)
tobacco use NOS (Z72.0)

Excludes2: not included here, code separately if applicable

tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
toxic effect of nicotine (T65.2-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Section I.C.5.b Mental and behavioral disorders due to psychoactive substance use (page 43), covers F17
Code only one pattern per substance: dependence outranks abuse and use, and abuse outranks use. Remission and unspecified use codes need provider documentation; code medical conditions separately with the substance code.

All codes under F17

F17 can't be used on a claim. Pick a billable code below; grey headings group them.

F17 MS-DRGs

As the principal diagnosis, the billable codes under F17 group to these 7 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 894 Alcohol, Drug Abuse or Dependence, Left AMA (12 of 20 codes)
DRG 895 Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy (12 of 20 codes)
DRG 896 Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC (12 of 20 codes)
DRG 897 Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC (12 of 20 codes)
DRG 951 Other Factors Influencing Health Status (8 of 20 codes)
DRG 791 Prematurity with Major Problems (4 of 20 codes)
DRG 793 Full Term Neonate with Major Problems (4 of 20 codes)

Other codes that refer to F17

Notes on these codes point to F17.

C00 Use Additional Code: tobacco dependence (F17.-)
C01 Use Additional Code: tobacco dependence (F17.-)
C02 Use Additional Code: tobacco dependence (F17.-)
C03 Use Additional Code: tobacco dependence (F17.-)
C04 Use Additional Code: tobacco dependence (F17.-)
C05 Use Additional Code: tobacco dependence (F17.-)
C06 Use Additional Code: tobacco dependence (F17.-)
C07 Use Additional Code: tobacco dependence (F17.-)
C08 Use Additional Code: tobacco dependence (F17.-)
C09 Use Additional Code: tobacco dependence (F17.-)
C10 Use Additional Code: tobacco dependence (F17.-)
C11 Use Additional Code: tobacco dependence (F17.-)
C12 Use Additional Code: tobacco dependence (F17.-)
C13 Use Additional Code: tobacco dependence (F17.-)
C14 Use Additional Code: tobacco dependence (F17.-)
C32 Use Additional Code: tobacco dependence (F17.-)
C33 Use Additional Code: tobacco dependence (F17.-)
C34 Use Additional Code: tobacco dependence (F17.-)
C39 Use Additional Code: tobacco dependence (F17.-)
CH10 Use Additional Code: tobacco dependence (F17.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

E-Cigarettes

E-cigarettes, or electronic cigarettes, are battery-operated smoking devices. They often look like cigarettes, but work differently. Using an e-cigarette is called vaping. The user puffs on the mouthpiece of a cartridge. This causes a vaporizer to heat the liquid inside the cartridge. The liquid contains nicotine, flavorings, and other chemicals. The heated liquid turns into the vapor that is inhaled.

Smokeless Tobacco

Many people who chew tobacco or dip snuff think it's safer than smoking. But you don't have to smoke tobacco for it to be dangerous. Chewing or dipping carries risks like:

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.