Z72.0 ICD-10-CM Code: Tobacco use
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons encountering health services in other circumstances (Z69-Z76)
Z72.0
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceTobacco use
A diagnosis code indicating that a patient currently uses tobacco products, including cigarettes, cigars, pipes, or smokeless tobacco.
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
Code Trumping
Basket needed
Code Book Path
Inclusion Terms
Official- Tobacco use NOS
Excludes 2
Official- problems related to life-management difficulty (Z73.-)
- problems related to socioeconomic and psychosocial circumstances (Z55-Z65)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z72.0 in this effective period.
Excludes 1
Official- history of tobacco dependence (Z87.891)
- nicotine dependence (F17.2-)
- tobacco dependence (F17.2-)
- tobacco use during pregnancy (O99.33-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Z72.0 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Z72.0 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z72.0 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 Z72.0 an HCC code?
No. Z72.0 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
Z72.0 is the ICD-10-CM diagnosis code for tobacco use. A diagnosis code indicating that a patient currently uses tobacco products, including cigarettes, cigars, pipes, or smokeless tobacco. Z72.0 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).
Z72.0 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.
Document the type of tobacco use (cigarette, cigar, pipe, chewing tobacco, snuff) and frequency when possible.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z72.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document the type of tobacco use (cigarette, cigar, pipe, chewing tobacco, snuff) and frequency when possible
- •This is a status code; use it to identify tobacco use as a risk factor or for counseling documentation purposes