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F17.213 ICD-10-CM Code: Nicotine dependence, cigarettes, with withdrawal

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
2 Excludes1 · 2 Excludes2

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 791 — PREMATURITY WITH MAJOR PROBLEMS (MDC 15)
  • MS-DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)
  • MS-DRG 894 — ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA (MDC 20)
  • MS-DRG 895 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY (MDC 20)
  • MS-DRG 896 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC (MDC 20)
  • MS-DRG 897 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC (MDC 20)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for F17.213 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on F17.213 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from F17

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from F17

Coder workflow for F17.213

MedCoder structured workflow — derived from this code’s own official record

Before you code F17.213

  1. F17.213’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with F17.213. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in F17.213’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewZ87.891, Z72.0

Consider F17.213. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).

Official instructions as workflow

  • Excludes1 — check before selecting F17.213(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with F17.213: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareZ87.891, Z72.0

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of F17.213(2 notes)

    Coding workflow: The conditions named in this note are not included in F17.213. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareO99.33, T65.2

    See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition F17.213 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewZ87.891, Z72.0

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is F17.213 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Nicotine dependence, cigarettes, with withdrawal is a billable ICD-10-CM diagnosis code (F17.213).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A)

A secondary code from category F17, Nicotine dependence, should also be assigned to identify the type of nicotine dependence.

Verify Before Coding

  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name F17.213 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 5 Excludes1 notes across 2 chapters: R41.3 — Other amnesia (via F17.-), R44 — Other symptoms and signs involving general sensations and perceptions (via F17.-), Z72.0 — Tobacco use (via F17.2.-), Z77.22 — Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic) (via F17.-), Z87.891 — Personal history of nicotine dependence (via F17.2.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 34 Excludes2 notes across 4 chapters: F02 — Dementia in other diseases classified elsewhere (via F17.-), F06 — Other mental disorders due to known physiological condition (via F17.-), F06.0 — Psychotic disorder with hallucinations due to known physiological condition (via F17.-), F06.2 — Psychotic disorder with delusions due to known physiological condition (via F17.-), F06.3 — Mood disorder due to known physiological condition (via F17.-), F06.4 — Anxiety disorder due to known physiological condition (via F17.-), F20 — Schizophrenia (via F17.-), F55 — Abuse of non-psychoactive substances (via F17.-), F63 — Impulse disorders (via F17.-), F63.1 — Pyromania (via F17.-), R78 — Findings of drugs and other substances, not normally found in blood (via F17.-), T36 — Poisoning by, adverse effect of and underdosing of systemic antibiotics (via F17.-), T36-T39 — Antibiotics & Anti-infectives (T36-T39) (via F17.-), T36-T50 — Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50) (via F17.-), T37 — Poisoning by, adverse effect of and underdosing of other systemic anti-infectives and antiparasitics (via F17.-), T38 — Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified (via F17.-), T39 — Poisoning by, adverse effect of and underdosing of nonopioid analgesics, antipyretics and antirheumatics (via F17.-), T40 — Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens] (via F17.-), T40-T41 — Analgesics & Antipyretics (T40-T41) (via F17.-), T41 — Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases (via F17.-), +14 more.

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 63 Use Additional Code instructions across 7 chapters: C00 — Malignant neoplasm of lip (via F17.-), C01 — Malignant neoplasm of base of tongue (via F17.-), C02 — Malignant neoplasm of other and unspecified parts of tongue (via F17.-), C03 — Malignant neoplasm of gum (via F17.-), C04 — Malignant neoplasm of floor of mouth (via F17.-), C05 — Malignant neoplasm of palate (via F17.-), C06 — Malignant neoplasm of other and unspecified parts of mouth (via F17.-), C07 — Malignant neoplasm of parotid gland (via F17.-), C08 — Malignant neoplasm of other and unspecified major salivary glands (via F17.-), C09 — Malignant neoplasm of tonsil (via F17.-), C10 — Malignant neoplasm of oropharynx (via F17.-), C11 — Malignant neoplasm of nasopharynx (via F17.-), C12 — Malignant neoplasm of pyriform sinus (via F17.-), C13 — Malignant neoplasm of hypopharynx (via F17.-), C14 — Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx (via F17.-), C32 — Malignant neoplasm of larynx (via F17.-), C33 — Malignant neoplasm of trachea (via F17.-), C34 — Malignant neoplasm of bronchus and lung (via F17.-), C39 — Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs (via F17.-), D00.0 — Carcinoma in situ of lip, oral cavity and pharynx (via F17.-), +43 more.

These codes instruct coders to additionally report this code when it applies.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 463 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 6 MS-DRGs: DRG 791 (MDC 15), DRG 793 (MDC 15), DRG 894 (MDC 20), DRG 895 (MDC 20), DRG 896 (MDC 20), DRG 897 (MDC 20).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):MBD024 — Tobacco-related disorders (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Tobacco-related disorders).

F17.200 — Nicotine dependence, unspecified, uncomplicated, F17.203 — Nicotine dependence unspecified, with withdrawal, F17.208 — Nicotine dependence, unspecified, with other nicotine-induced disorders, F17.209 — Nicotine dependence, unspecified, with unspecified nicotine-induced disorders, F17.210 — Nicotine dependence, cigarettes, uncomplicated, F17.218 — Nicotine dependence, cigarettes, with other nicotine-induced disorders, F17.219 — Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders, F17.220 — Nicotine dependence, chewing tobacco, uncomplicated, F17.223 — Nicotine dependence, chewing tobacco, with withdrawal, F17.228 — Nicotine dependence, chewing tobacco, with other nicotine-induced disorders, F17.229 — Nicotine dependence, chewing tobacco, with unspecified nicotine-induced disorders, F17.290 — Nicotine dependence, other tobacco product, uncomplicated, F17.293 — Nicotine dependence, other tobacco product, with withdrawal, F17.298 — Nicotine dependence, other tobacco product, with other nicotine-induced disorders, F17.299 — Nicotine dependence, other tobacco product, with unspecified nicotine-induced disorders, O99.330 — Smoking (tobacco) complicating pregnancy, unspecified trimester, O99.331 — Smoking (tobacco) complicating pregnancy, first trimester, O99.332 — Smoking (tobacco) complicating pregnancy, second trimester, O99.333 — Smoking (tobacco) complicating pregnancy, third trimester, O99.334 — Smoking (tobacco) complicating childbirth, +1 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Dependence”; these codes share that main term but sit in a different category of the Tabular List.

F16.221 — Hallucinogen dependence with intoxication with delirium (drug NEC, hallucinogen, with, intoxication, with delirium), F16.229 — Hallucinogen dependence with intoxication, unspecified (drug NEC, hallucinogen, with, intoxication), F16.24 — Hallucinogen dependence with hallucinogen-induced mood disorder (drug NEC, hallucinogen, with, mood disorder), F16.250 — Hallucinogen dependence with hallucinogen-induced psychotic disorder with delusions (drug NEC, hallucinogen, with, psychosis, delusions), F16.251 — Hallucinogen dependence with hallucinogen-induced psychotic disorder with hallucinations (drug NEC, hallucinogen, with, psychosis, hallucinations), F16.259 — Hallucinogen dependence with hallucinogen-induced psychotic disorder, unspecified (drug NEC, hallucinogen, with, psychosis), F16.280 — Hallucinogen dependence with hallucinogen-induced anxiety disorder (drug NEC, hallucinogen, with, anxiety disorder), F16.283 — Hallucinogen dependence with hallucinogen persisting perception disorder (flashbacks) (drug NEC, hallucinogen, with, flashbacks), F16.288 — Hallucinogen dependence with other hallucinogen-induced disorder (drug NEC, hallucinogen, with, other specified disorder), F16.29 — Hallucinogen dependence with unspecified hallucinogen-induced disorder (drug NEC, hallucinogen, with, unspecified disorder), F18.20 — Inhalant dependence, uncomplicated (drug NEC, inhalant), F18.21 — Inhalant dependence, in remission (drug NEC, inhalant, in remission), F18.220 — Inhalant dependence with intoxication, uncomplicated (drug NEC, inhalant, with, intoxication, uncomplicated), F18.221 — Inhalant dependence with intoxication delirium (drug NEC, inhalant, with, intoxication, with delirium), F18.229 — Inhalant dependence with intoxication, unspecified (drug NEC, inhalant, with, intoxication), F18.24 — Inhalant dependence with inhalant-induced mood disorder (drug NEC, inhalant, with, mood disorder), F18.250 — Inhalant dependence with inhalant-induced psychotic disorder with delusions (drug NEC, inhalant, with, psychosis, delusions), F18.251 — Inhalant dependence with inhalant-induced psychotic disorder with hallucinations (drug NEC, inhalant, with, psychosis, hallucinations), F18.259 — Inhalant dependence with inhalant-induced psychotic disorder, unspecified (drug NEC, inhalant, with, psychosis), F18.27 — Inhalant dependence with inhalant-induced dementia (drug NEC, inhalant, with, dementia, persisting), +145 more

Contextual Map

Every relationship of F17.213 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run F17.213 with these 21 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes (34)

Referenced by Use Additional Code instructions (63)

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period[MDC crossing]: “Newborns and Other Neonates with Conditions Originating in Perinatal Period — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
  • MDC 20 — Alcohol or Drug Use or Induced Organic Mental Disorders[MDC crossing]: “Alcohol or Drug Use or Induced Organic Mental Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 35 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Dependence (on) (syndrome), drug NEC, nicotine, cigarettes, with disorder, withdrawal[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (25)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "F17.213 — Nicotine dependence, cigarettes, with withdrawal." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/f17.213-nicotine-dependence-cigarettes-with-withdrawal

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Nicotine dependence, cigarettes, with withdrawal

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to F17.213 in its code family, with their registry titles.

View all codes in the F17 family