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F17 ICD-10-CM Code: Nicotine dependence

ICD-10-CM Code View

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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F17

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Nicotine dependence

Nicotine dependence

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
F1Mental and behavioral disorders due to psychoactive substance use (F10-F19)
F17Nicotine dependence

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F17 in this effective period.

Excludes 2

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

Related Child Codes

Official
F17.2Nicotine dependence

Includes

Official

ICD-10-CM does not list Includes notes for F17 in this effective period.

Excludes 1

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

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F17 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F17 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F17 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

F17 is the ICD-10-CM diagnosis code for nicotine dependence. F17 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).

Header codes like F17 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at F17's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F17 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

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

Excludes 2, Not included here, may code separately

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

Child Codes

Code Hierarchy

F17Nicotine dependence
F17Nicotine dependence

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