Nicotine dependence occurs when you need nicotine and can't stop using it. Nicotine is the chemical in tobacco that makes it hard to quit. Nicotine produces pleasing effects in your brain, but these effects are temporary. So you reach for another cigarette. The more you smoke, the more nicotine you need to feel good.
What is nicotine dependence?
Nicotine sustains tobacco addiction, a major cause of disability and premature death, by acting on nicotinic cholinergic receptors in the brain to trigger the release of dopamine and other neurotransmitters.
ICD-10 code F17. 210 for Nicotine dependence, cigarettes, uncomplicated is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
specifically, in ICD-9, providers commonly used diagnosis code 305.1 (tobacco use disorder) or V15. 82 (history of tobacco use) depending on the status of the patient as a current or former tobacco user.
F17. 201 Nicotine dependence, unspecified, in remission. F17. 210 Nicotine dependence, cigarettes, uncomplicated.
Nicotine Dependence is recognized as a medical condition in the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association [1–3], and Tobacco Dependence is recognized in the International Classification of Diseases [4, 5].
ICD-10-CM Code for Nicotine dependence, cigarettes, in remission F17. 211.
Smoking Cessation Counseling Codes 99406 and 99407 Medicare covers 2 cessation attempts per 12-month period. Each attempt includes a maximum of up to 4 intermediate (99406) or intensive (99407) counseling sessions, with a total Medicare benefit of 8 sessions per year.
Nicotine dependence occurs when you need nicotine and can't stop using it. Nicotine is the chemical in tobacco that makes it hard to quit. Nicotine produces pleasing effects in your brain, but these effects are temporary. So you reach for another cigarette. The more you smoke, the more nicotine you need to feel good.
The provider should specifically document “uncomplicated” when the criteria for remission, withdrawal or nicotine-induced disorders is not relevant. In remission. The provider must specifically state “in remission” in the individual patient's medical record. documentation.
99406 and 99407In the body of the note, the clinician must document the time of the counseling. The CPT codes for smoking cessation (99406 and 99407) are used for all payers for patients who are symptomatic as a result of smoking.
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is used to make a formal diagnosis. In DSM-5, the DSM-IV-TR categories of nicotine abuse and dependence have been replaced with an overarching category called tobacco use disorder. This change was made to avoid confusion between dependence and addiction.
Fagerström Test Patients who quit smoking and relapse within two or three weeks usually do so to relieve withdrawal symptoms secondary to their physical dependence on nicotine. The Fagerström Test for Nicotine Dependence is a standard instrument for assessing the intensity of this physical addiction.
Tobacco use disorder means you are addicted to tobacco. With tobacco use disorder, you have trouble stopping using tobacco. Tobacco contains the drug nicotine. Nicotine is addictive because it gives a quick boost to your mood. This makes you want to use it more and makes it hard to stop, even when you know you should.
F17 is a non-billable ICD-10 code for Nicotine dependence. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.
tobacco use (smoking) during pregnancy, childbirth and the puerperium ( O99.33 -)
F17.21 is a non-billable ICD-10 code for Nicotine dependence, cigarettes. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.
Listed below are all Medicare Accepted ICD-10 codes under F17.21 for Nicotine dependence, cigarettes. These codes can be used for all HIPAA-covered transactions.
A 3-character code is to be used only if it is not further subdivided. A code is invalid if it has not been coded to the full number of characters required for that code, including the 7 th character, if applicable.
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically.
There are preventive codes used such as 99384-99387 (for initial visit) and 99394-99397 (for existing patients) for preventive services, that include risk reduction, as part of the visit. As a result, some of the other codes, like tobacco or nicotine use related counseling, may not be reimbursed.
The ICD-10-CM guidelines include a number of instructional notations to help users properly select codes. These notes include two types of code exclusions to identify situations where a different code might be more appropriate, or if another code could be added that further supports patient care.
Documentation also should include the type of tobacco product used and whether or not there are nicotine-induced disorders such as remission or withdrawal. These distinctions will assist with proper reimbursement and help manage and track your population to understand the most prevalent conditions related to tobacco use and the products used by patients to consume nicotine.
O99.33-Tobacco use during pregnancy (see additional guidance on page 8 re: O99.33-)
In the United States, the DSM serves as the principal authority for psychiatric diagnoses. Treatment recommendations, as well as payment by healthcare providers, are often determined by DSM classifications. The definition is a useful diagnostic tool for determining what constitutes “dependence.”.
ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD ), a medical classification list by the World Health Organization (WHO).
1Tobacco is often taken in larger amounts or over a longer period than was intended.