Z71.6 ICD-10-CM Code: Tobacco abuse counseling
Z71.6 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools
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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons encountering health services in other circumstances (Z69-Z76)
Z71.6
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceTobacco abuse counseling
A person receives counseling and support to help them quit smoking or reduce tobacco use.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for Z71.6. Check the code and parent instructions in the Code Book.
Excludes 2
Official- contraceptive or procreation counseling (Z30-Z31)Inherited from Z71
- sex counseling (Z70.-)Inherited from Z71
Related Codes
Includes
OfficialNo Includes notes are included in this display for Z71.6. Check the code and parent instructions in the Code Book.
Excludes 1
OfficialNo Excludes 1 notes are included in this display for Z71.6. Check the code and parent instructions in the Code Book.
Code First
OfficialNo Code First sequencing instructions are included in this display for Z71.6. Check the code and parent instructions in the Code Book.
Use Additional
Official- code for nicotine dependence (F17.-)
Code Also
OfficialNo Code Also instructions are included in this display for Z71.6. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is Z71.6 an HCC code?
No. Z71.6 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.
- Code
- Z71.6
- Description
- Tobacco abuse counseling
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
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
Z71.6 is the ICD-10-CM diagnosis code for tobacco abuse counseling. A person receives counseling and support to help them quit smoking or reduce tobacco use. Z71.6 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons encountering health services in other circumstances (z69-z76).
Z71.6 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.
This code covers all forms of tobacco counseling including smoking cessation programs.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for Z71.6 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code covers all forms of tobacco counseling including smoking cessation programs
- •Document the patient's current tobacco use status and the counseling interventions provided
Use Additional Code
- code for nicotine dependence (F17.-)