F17.218 ICD-10-CM Code: Nicotine dependence, cigarettes, with other nicotine-induced disorders
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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)
F17.218
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceNicotine dependence, cigarettes, with other nicotine-induced disorders
A person dependent on cigarettes who is experiencing other health problems caused by cigarette smoking, such as sleep disturbances or mood changes.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for F17.218 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for F17.218 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for F17.218 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for F17.218 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for F17.218 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F17.218 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F17.218 in this effective period.
Buddy Documentation Tip
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.
Is F17.218 an HCC code?
No. F17.218 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
F17.218 is the ICD-10-CM diagnosis code for nicotine dependence, cigarettes, with other nicotine-induced disorders. A person dependent on cigarettes who is experiencing other health problems caused by cigarette smoking, such as sleep disturbances or mood changes. F17.218 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).
F17.218 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Specify the nicotine-induced disorder in documentation (e.g., sleep disorder, anxiety) for clarity.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F17.218 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Specify the nicotine-induced disorder in documentation (e.g., sleep disorder, anxiety) for clarity
- •Use this code when complications exist beyond withdrawal symptoms