Question 1

What is ICD-10 code F17.213?

Accepted Answer

F17.213 is the ICD-10-CM diagnosis code for nicotine dependence, cigarettes, with withdrawal. A person dependent on cigarettes who is experiencing withdrawal symptoms from stopping or reducing cigarette smoking. F17.213 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).

F17.213 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Document specific withdrawal symptoms such as irritability, anxiety, difficulty concentrating, or increased appetite.

Question 2

Is F17.213 an HCC code?

Accepted Answer

F17.213 has no payable CMS-HCC V28 mapping in the final FY2026 CMS file.

Question 3

Is F17.213 billable?

Accepted Answer

Yes. F17.213 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F17.213 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Question 4

Which HCC does F17.213 map to under V28?

Accepted Answer

F17.213 has no payable CMS-HCC V28 mapping in the final FY2026 CMS file.

Question 5

What RAF reference is published for F17.213?

Accepted Answer

F17.213 has no V28 reference coefficient because the final FY2026 source verifies no payable V28 mapping.

Question 6

What is the V28 vs V24 difference for F17.213?

Accepted Answer

F17.213 has verified no payable V28 mapping in the final FY2026 source. Select a historical effective period before making any V24 comparison.

Question 7

What documentation supports F17.213?

Accepted Answer

Document specific withdrawal symptoms such as irritability, anxiety, difficulty concentrating, or increased appetite This code indicates active dependence with withdrawal; consider coding for nicotine replacement therapy if prescribed F17.213 is not a CMS-HCC V28 payment code in the verified current source, so MEAT is not the payment hook. Documentation still has to support the diagnosis if you report it.

Question 8

Can F17.213 be a primary diagnosis?

Accepted Answer

Yes. F17.213 carries no code-first instruction in the FY2026 tabular, so it can be the first-listed diagnosis when it is the condition chiefly responsible for the encounter and the note supports it, and it can also be reported as a secondary diagnosis. For risk adjustment the order does not matter; the V28 category is the same either way.

Question 9

Which codes cannot be reported with F17.213?

Accepted Answer

The Excludes1 note that applies to F17.213 lists history of tobacco dependence (Z87.891); tobacco use NOS (Z72.0). An Excludes1 condition is not reported together with F17.213; report one or the other, unless the two conditions are unrelated, which the ICD-10-CM Official Guidelines (Section I.A.12.a) allow. The Excludes2 note lists symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99); tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-); toxic effect of nicotine (T65.2-); those are separate conditions that may be reported together with F17.213 when both are documented.

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F17.213

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F17.213 ICD-10-CM Code: Nicotine dependence, cigarettes, with withdrawal

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F17.213

Is F17.213 an HCC code?

Get the V28 mapping + MEAT cheat sheet

What This Code Means

Coding Tips

Child Codes

Code Hierarchy

Also searched as

Work F17.213 in HCC Buddy