F17 vs O99.33
F17 (Nicotine dependence) compared with O99.33 (Tobacco use disorder complicating pregnancy, childbirth, and the puerperium), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. F17 carries an Excludes2 note covering O99.33: “tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| F17Nicotine dependence | O99.33Tobacco use disorder complicating pregnancy, childbirth, and the puerperium | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Nicotine dependence is a non-billable ICD-10-CM category code (F17). | Tobacco use disorder complicating pregnancy, childbirth, and the puerperium is a non-billable ICD-10-CM category code (O99.33). |
| Includes | — | conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care Smoking complicating pregnancy, childbirth, and the puerperium |
| Use additional code | — | code from category F17 to identify type of tobacco nicotine dependence code to identify specific condition |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources