2020 ICD-10-CM Diagnosis Code Z71.6

Tobacco abuse counseling

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Z71.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Z71.6 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z71.6 - other international versions of ICD-10 Z71.6 may differ.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for nicotine dependence (
    ICD-10-CM Diagnosis Code F17
    • F17 Nicotine dependence
      • F17.2 Nicotine dependence
        • F17.20 Nicotine dependence, unspecified
          • F17.200 Nicotine dependence, unspecified, uncomplicat...
          • F17.201 Nicotine dependence, unspecified, in remissio...
          • F17.203 Nicotine dependence unspecified, with withdra...
          • F17.208 Nicotine dependence, unspecified, with other ...
          • F17.209 Nicotine dependence, unspecified, with unspec...
        • F17.21 Nicotine dependence, cigarettes
          • F17.210 Nicotine dependence, cigarettes, uncomplicate...
          • F17.211 Nicotine dependence, cigarettes, in remission...
          • F17.213 Nicotine dependence, cigarettes, with withdra...
          • F17.218 Nicotine dependence, cigarettes, with other n...
          • F17.219 Nicotine dependence, cigarettes, with unspeci...
        • F17.22 Nicotine dependence, chewing tobacco
          • F17.220 Nicotine dependence, chewing tobacco, uncompl...
          • F17.221 Nicotine dependence, chewing tobacco, in remi...
          • F17.223 Nicotine dependence, chewing tobacco, with wi...
          • F17.228 Nicotine dependence, chewing tobacco, with ot...
          • F17.229 Nicotine dependence, chewing tobacco, with un...
        • F17.29 Nicotine dependence, other tobacco product
          • F17.290 Nicotine dependence, other tobacco product, u...
          • F17.291 Nicotine dependence, other tobacco product, i...
          • F17.293 Nicotine dependence, other tobacco product, w...
          • F17.298 Nicotine dependence, other tobacco product, w...
          • F17.299 Nicotine dependence, other tobacco product, w...
    F17.-
    )
The following code(s) above Z71.6 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z71.6:
  • Z00-Z99
    2020 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z71
    ICD-10-CM Diagnosis Code Z71

    Persons encountering health services for other counseling and medical advice, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • contraceptive or procreation counseling (Z30-Z31)
    • sex counseling (Z70.-)
    Persons encountering health services for other counseling and medical advice, not elsewhere classified
Approximate Synonyms
  • Smoking cessation counseling
  • Smoking cessation counseling done
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z71.6 is considered exempt from POA reporting.
ICD-10-CM Z71.6 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 951 Other factors influencing health status

Convert Z71.6 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to Z71.6:
  • Counseling (for) Z71.9
    ICD-10-CM Diagnosis Code Z71.9

    Counseling, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Encounter for medical advice NOS
    • substance abuse Z71.89
      ICD-10-CM Diagnosis Code Z71.89

      Other specified counseling

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • tobacco Z71.6
    • tobacco use Z71.6
  • Dependence (on) (syndrome) F19.20
    ICD-10-CM Diagnosis Code F19.20

    Other psychoactive substance dependence, uncomplicated

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Other (or unknown) substance use disorder, moderate
    • Other (or unknown) substance use disorder, severe
  • Tobacco (nicotine)
    • use Z72.0
      ICD-10-CM Diagnosis Code Z72.0

      Tobacco use

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Tobacco use NOS
      Type 1 Excludes
      • history of tobacco dependence (Z87.891)
      • nicotine dependence (F17.2-)
      • tobacco dependence (F17.2-)
      • tobacco use during pregnancy (O99.33-)
      • counseling and surveillance Z71.6

ICD-10-CM Codes Adjacent To Z71.6
Z71.0 Person encountering health services to consult on behalf of another person
Z71.1 Person with feared health complaint in whom no diagnosis is made
Z71.2 Person consulting for explanation of examination or test findings
Z71.3 Dietary counseling and surveillance
Z71.4 Alcohol abuse counseling and surveillance
Z71.41 …… of alcoholic
Z71.42 Counseling for family member of alcoholic
Z71.5 Drug abuse counseling and surveillance
Z71.51 …… of drug abuser
Z71.52 Counseling for family member of drug abuser
Z71.6 Tobacco abuse counseling
Z71.7 Human immunodeficiency virus [HIV] counseling
Z71.8 Other specified counseling
Z71.81 Spiritual or religious counseling
Z71.82 Exercise counseling
Z71.83 Encounter for nonprocreative genetic counseling
Z71.84 Encounter for health counseling related to travel
Z71.89 Other specified counseling
Z71.9 Counseling, unspecified
Z72 Problems related to lifestyle
Z72.0 Tobacco use

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.