Z87.891 ICD-10-CM Code: Personal history of nicotine dependence
Z87.891 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
Z87.891
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePersonal history of nicotine dependence
A patient's past medical history of nicotine addiction or dependence that is no longer active.
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
OfficialICD-10-CM does not list inclusion terms for Z87.891 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Z87.891 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z87.891 in this effective period.
Excludes 1
Official- current nicotine dependence (F17.2-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Z87.891 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Z87.891 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z87.891 in this effective period.
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 Z87.891 an HCC code?
No. Z87.891 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
- Z87.891
- Description
- Personal history of nicotine dependence
- 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
Z87.891 is the ICD-10-CM diagnosis code for personal history of nicotine dependence. A patient's past medical history of nicotine addiction or dependence that is no longer active. Z87.891 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons with potential health hazards related to family and personal history and certain conditions influencing health status (z77-z99).
Z87.891 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 indicates past nicotine dependence; use Z72.0 for current tobacco use.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for Z87.891 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code indicates past nicotine dependence; use Z72.0 for current tobacco use
- •Document the duration and type of nicotine use (cigarettes, vaping, etc.) when available
Excludes 1, Do NOT code together
- current nicotine dependence (F17.2-)