ICD-10-CM Codes
Z00-Z99
Z77-Z99
Z87-
2023 ICD-10-CM Diagnosis Code Z87.891

2023 ICD-10-CM Diagnosis Code Z87.891

Personal history of nicotine dependence

2016

2017

2018

2019

2020

2021

2022

2023

Billable/Specific Code

POA Exempt

Z87.891 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2023 edition of ICD-10-CM Z87.891 became effective on October 1, 2022.
This is the American ICD-10-CM version of Z87.891 - other international versions of ICD-10 Z87.891 may differ.

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z87.891. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

current nicotine dependence (
ICD-10-CM Diagnosis Code F17.2
Nicotine dependence
F17.2-
)

The following code(s) above Z87.891 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 Z87.891:

Z00-Z99
2023 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
Z77-Z99
2023 ICD-10-CM Range Z77-Z99
Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Code Also
- any follow-up examination (Z08-Z09)
Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Z87
ICD-10-CM Diagnosis Code Z87
Personal history of other diseases and conditions
Code First
- any follow-up examination after treatment (Z09)
Personal history of other diseases and conditions
Z87.8
ICD-10-CM Diagnosis Code Z87.8
Personal history of other specified conditions
Type 2 Excludes
- personal history of self harm (Z91.5-)
Personal history of other specified conditions

Approximate Synonyms

Ex-smoker for more than 1 year
Ex-tobacco user
Former smoker quit more than 1 year ago
History of former tobacco use
History of former tobacco use, last used more than a year ago
History of of smoking
History of smoking
History of smoking more than 15 pack years
History of tobacco use
History of tobacco use in remission
History of tobacco use in remission less than 12 months

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.

Z87.891 is considered exempt from POA reporting.

ICD-10-CM Z87.891 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):

951 Other factors influencing health status

Convert Z87.891 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
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change

Code annotations containing back-references to Z87.891:

Type 1 Excludes: Z72.0
, F17

ICD-10-CM Diagnosis Code Z72.0
Tobacco use
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-)
ICD-10-CM Diagnosis Code F17
Nicotine dependence
Type 1 Excludes
- history of tobacco dependence (Z87.891)
- tobacco use NOS (Z72.0)
Type 2 Excludes
- tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
- toxic effect of nicotine (T65.2-)
Use Additional: I70
, G31.84
, H66
, C00
, C01
, C02
, J31
, J32
, C03
, J33
, C04
, C05
, I20
, J35
, C06
, Z85
, I21
, J37
, C07
, C11
, C32
, C14
, C12
, J38
, C39
, C08
, C33
, C13
, I22
, C34
, C09
, J40
, J41
, C10
, I25
, D02
, J42
, D00.0
, J43
, J44
, J45
, J47
, K05
, J98
, K11
, K12
, K14
, J81
, K13

ICD-10-CM Diagnosis Code I70
Atherosclerosis
Includes
- arteriolosclerosis
- arterial degeneration
- arteriosclerosis
- arteriosclerotic vascular disease
- arteriovascular degeneration
- atheroma
- endarteritis deformans or obliterans
- senile arteritis
- senile endarteritis
- vascular degeneration
Type 2 Excludes
- arteriosclerotic cardiovascular disease (I25.1-)
- arteriosclerotic heart disease (I25.1-)
- atheroembolism (I75.-)
- cerebral atherosclerosis (I67.2)
- coronary atherosclerosis (I25.1-)
- mesenteric atherosclerosis (K55.1)
- precerebral atherosclerosis (I67.2)
- primary pulmonary atherosclerosis (I27.0)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code G31.84
Mild cognitive impairment of uncertain or unknown etiology
Applicable To
- Mild cognitive disorder NOS
- Mild neurocognitive disorder of uncertain or unknown etiology
Type 1 Excludes
- age related cognitive decline (R41.81)
- altered mental status (R41.82)
- cerebral degeneration (G31.9)
- cerebrovascular diseases (I60-I69)
- change in mental status (R41.82)
- cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-, I69.11-, I69.21-, I69.31-, I69.81-, I69.91-)
- cognitive impairment due to intracranial or head injury (S06.-)
- dementia (F01.-, F02.-, F03)
- mild neurocognitive disorder due to a known physiological condition (F06.7-)
- neurologic neglect syndrome (R41.4)
- personality change, nonpsychotic (F68.8)
Use Additional
- code to identify presence of:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- hypertension (I10-I16)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code H66
Suppurative and unspecified otitis media
Includes
- suppurative and unspecified otitis media with myringitis
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C00
Malignant neoplasm of lip
Type 1 Excludes
- malignant melanoma of lip (C43.0)
- Merkel cell carcinoma of lip (C4A.0)
- other and unspecified malignant neoplasm of skin of lip (C44.0-)
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- history of tobacco dependence (Z87.891)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C01
Malignant neoplasm of base of tongue
Applicable To
- Malignant neoplasm of dorsal surface of base of tongue
- Malignant neoplasm of fixed part of tongue NOS
- Malignant neoplasm of posterior third of tongue
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- history of tobacco dependence (Z87.891)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C02
Malignant neoplasm of other and unspecified parts of tongue
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- history of tobacco dependence (Z87.891)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J31
Chronic rhinitis, nasopharyngitis and pharyngitis
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J32
Chronic sinusitis
Includes
- sinus abscess
- sinus empyema
- sinus infection
- sinus suppuration
Type 2 Excludes
- acute sinusitis (J01.-)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- infectious agent (B95-B97)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C03
Malignant neoplasm of gum
Includes
- malignant neoplasm of alveolar (ridge) mucosa
- malignant neoplasm of gingiva
Type 2 Excludes
- malignant odontogenic neoplasms (C41.0-C41.1)
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- history of tobacco dependence (Z87.891)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J33
Nasal polyp
Type 1 Excludes
- adenomatous polyps (D14.0)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C04
Malignant neoplasm of floor of mouth
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- history of tobacco dependence (Z87.891)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C05
Malignant neoplasm of palate
Type 1 Excludes
- Kaposi's sarcoma of palate (C46.2)
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- history of tobacco dependence (Z87.891)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code I20
Angina pectoris
Type 1 Excludes
- angina pectoris with atherosclerotic heart disease of native coronary arteries (I25.1-)
- atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris (I25.7-)
- postinfarction angina (I23.7)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J35
Chronic diseases of tonsils and adenoids
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C06
Malignant neoplasm of other and unspecified parts of mouth
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- history of tobacco dependence (Z87.891)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code Z85
Personal history of malignant neoplasm
Code First
- any follow-up examination after treatment of malignant neoplasm (Z08)
Type 2 Excludes
- personal history of benign neoplasm (Z86.01-)
- personal history of carcinoma-in-situ (Z86.00-)
Use Additional
- code to identify:
- alcohol use and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code I21
Acute myocardial infarction
Includes
- cardiac infarction
- coronary (artery) embolism
- coronary (artery) occlusion
- coronary (artery) rupture
- coronary (artery) thrombosis
- infarction of heart, myocardium, or ventricle
- myocardial infarction specified as acute or with a stated duration of 4 weeks (28 days) or less from onset
Type 2 Excludes
- old myocardial infarction (I25.2)
- postmyocardial infarction syndrome (I24.1)
- subsequent type 1 myocardial infarction (I22.-)
Use Additional
- code, if applicable, to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J37
Chronic laryngitis and laryngotracheitis
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- infectious agent (B95-B97)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C07
Malignant neoplasm of parotid gland
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C11
Malignant neoplasm of nasopharynx
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C32
Malignant neoplasm of larynx
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C14
Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx
Type 1 Excludes
- malignant neoplasm of oral cavity NOS (C06.9)
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C12
Malignant neoplasm of pyriform sinus
Applicable To
- Malignant neoplasm of pyriform fossa
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J38
Diseases of vocal cords and larynx, not elsewhere classified
Type 1 Excludes
- congenital laryngeal stridor (P28.89)
- obstructive laryngitis (acute) (J05.0)
- postprocedural subglottic stenosis (J95.5)
- stridor (R06.1)
- ulcerative laryngitis (J04.0)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C39
Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs
Type 1 Excludes
- intrathoracic malignant neoplasm NOS (C76.1)
- thoracic malignant neoplasm NOS (C76.1)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C08
Malignant neoplasm of other and unspecified major salivary glands
Includes
- malignant neoplasm of salivary ducts
Type 1 Excludes
- malignant neoplasms of specified minor salivary glands which are classified according to their anatomical location
Type 2 Excludes
- malignant neoplasms of minor salivary glands NOS (C06.9)
- malignant neoplasm of parotid gland (C07)
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C33
Malignant neoplasm of trachea
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C13
Malignant neoplasm of hypopharynx
Type 2 Excludes
- malignant neoplasm of pyriform sinus (C12)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code I22
Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction
Includes
- acute myocardial infarction occurring within four weeks (28 days) of a previous acute myocardial infarction, regardless of site
- cardiac infarction
- coronary (artery) embolism
- coronary (artery) occlusion
- coronary (artery) rupture
- coronary (artery) thrombosis
- infarction of heart, myocardium, or ventricle
- recurrent myocardial infarction
- reinfarction of myocardium
- rupture of heart, myocardium, or ventricle
- subsequent type 1 myocardial infarction
Type 1 Excludes
- subsequent myocardial infarction, type 2 (I21.A1)
- subsequent myocardial infarction of other type (type 3) (type 4) (type 5) (I21.A9)
Use Additional
- code, if applicable, to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C34
Malignant neoplasm of bronchus and lung
Type 1 Excludes
- Kaposi's sarcoma of lung (C46.5-)
- malignant carcinoid tumor of the bronchus and lung (C7A.090)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C09
Malignant neoplasm of tonsil
Type 2 Excludes
- malignant neoplasm of lingual tonsil (C02.4)
- malignant neoplasm of pharyngeal tonsil (C11.1)
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J40
Bronchitis, not specified as acute or chronic
Applicable To
- Bronchitis NOS
- Bronchitis with tracheitis NOS
- Catarrhal bronchitis
- Tracheobronchitis NOS
Type 1 Excludes
- acute bronchitis (J20.-)
- allergic bronchitis NOS (J45.909-)
- asthmatic bronchitis NOS (J45.9-)
- bronchitis due to chemicals, gases, fumes and vapors (J68.0)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J41
Simple and mucopurulent chronic bronchitis
Type 1 Excludes
- chronic bronchitis NOS (J42)
- chronic obstructive bronchitis (J44.-)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code C10
Malignant neoplasm of oropharynx
Type 2 Excludes
- malignant neoplasm of tonsil (C09.-)
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code I25
Chronic ischemic heart disease
Type 2 Excludes
- non-ischemic myocardial injury (I5A)
Use Additional
- code to identify:
- chronic total occlusion of coronary artery (I25.82)
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code D02
Carcinoma in situ of middle ear and respiratory system
Type 1 Excludes
- melanoma in situ (D03.-)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J42
Unspecified chronic bronchitis
Applicable To
- Chronic bronchitis NOS
- Chronic tracheitis
- Chronic tracheobronchitis
Type 1 Excludes
- chronic asthmatic bronchitis (J44.-)
- chronic bronchitis with airways obstruction (J44.-)
- chronic emphysematous bronchitis (J44.-)
- chronic obstructive pulmonary disease NOS (J44.9)
- simple and mucopurulent chronic bronchitis (J41.-)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code D00.0
Carcinoma in situ of lip, oral cavity and pharynx
Type 1 Excludes
- carcinoma in situ of aryepiglottic fold or interarytenoid fold, laryngeal aspect (D02.0)
- carcinoma in situ of epiglottis NOS (D02.0)
- carcinoma in situ of epiglottis suprahyoid portion (D02.0)
- carcinoma in situ of skin of lip (D03.0, D04.0)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J43
Emphysema
Type 1 Excludes
- compensatory emphysema (J98.3)
- emphysema due to inhalation of chemicals, gases, fumes or vapors (J68.4)
- emphysema with chronic (obstructive) bronchitis (J44.-)
- emphysematous (obstructive) bronchitis (J44.-)
- interstitial emphysema (J98.2)
- mediastinal emphysema (J98.2)
- neonatal interstitial emphysema (P25.0)
- surgical (subcutaneous) emphysema (T81.82)
Type 2 Excludes
- traumatic subcutaneous emphysema (T79.7)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J44
Other chronic obstructive pulmonary disease
Code Also
- type of asthma, if applicable (J45.-)
Includes
- asthma with chronic obstructive pulmonary disease
- chronic asthmatic (obstructive) bronchitis
- chronic bronchitis with airway obstruction
- chronic bronchitis with emphysema
- chronic emphysematous bronchitis
- chronic obstructive asthma
- chronic obstructive bronchitis
- chronic obstructive tracheobronchitis
Type 1 Excludes
- bronchiectasis (J47.-)
- chronic bronchitis NOS (J42)
- chronic simple and mucopurulent bronchitis (J41.-)
- chronic tracheitis (J42)
- chronic tracheobronchitis (J42)
- emphysema without chronic bronchitis (J43.-)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J45
Asthma
Includes
- allergic (predominantly) asthma
- allergic bronchitis NOS
- allergic rhinitis with asthma
- atopic asthma
- extrinsic allergic asthma
- hay fever with asthma
- idiosyncratic asthma
- intrinsic nonallergic asthma
- nonallergic asthma
Type 1 Excludes
- detergent asthma (J69.8)
- miner's asthma (J60)
- wheezing NOS (R06.2)
- wood asthma (J67.8)
Type 2 Excludes
- asthma with chronic obstructive pulmonary disease (J44.9)
- chronic asthmatic (obstructive) bronchitis (J44.9)
- chronic obstructive asthma (J44.9)
Use Additional
- code to identify:
- eosinophilic asthma (J82.83)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J47
Bronchiectasis
Includes
- bronchiolectasis
Type 1 Excludes
- congenital bronchiectasis (Q33.4)
- tuberculous bronchiectasis (current disease) (A15.0)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code K05
Gingivitis and periodontal diseases
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J98
Other respiratory disorders
Type 1 Excludes
- newborn apnea (P28.4-)
- newborn sleep apnea (P28.3-)
Type 2 Excludes
- apnea NOS (R06.81)
- sleep apnea (G47.3-)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code K11
Diseases of salivary glands
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code K12
Stomatitis and related lesions
Type 1 Excludes
- cancrum oris (A69.0)
- cheilitis (K13.0)
- gangrenous stomatitis (A69.0)
- herpesviral [herpes simplex] gingivostomatitis (B00.2)
- noma (A69.0)
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code K14
Diseases of tongue
Type 2 Excludes
- erythroplakia (K13.29)
- focal epithelial hyperplasia (K13.29)
- leukedema of tongue (K13.29)
- leukoplakia of tongue (K13.21)
- hairy leukoplakia (K13.3)
- macroglossia (congenital) (Q38.2)
- submucous fibrosis of tongue (K13.5)
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J81
Pulmonary edema
Type 1 Excludes
- chemical (acute) pulmonary edema (J68.1)
- hypostatic pneumonia (J18.2)
- passive pneumonia (J18.2)
- pulmonary edema due to external agents (J60-J70)
- pulmonary edema with heart disease NOS (I50.1)
- pulmonary edema with heart failure (I50.1)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code K13
Other diseases of lip and oral mucosa
Includes
- epithelial disturbances of tongue
Type 2 Excludes
- certain disorders of gingiva and edentulous alveolar ridge (K05-K06)
- cysts of oral region (K09.-)
- diseases of tongue (K14.-)
- stomatitis and related lesions (K12.-)
Use Additional
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)

Diagnosis Index entries containing back-references to Z87.891:

History
- personal (of) - see also History, family (of)
  - nicotine dependence Z87.891
  - tobacco dependence Z87.891
Tobacco (nicotine)
- use Z72.0
  ICD-10-CM Diagnosis Code Z72.0
  Tobacco use
  2016 2017 2018 2019 2020 2021 2022 2023 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-)
  - history Z87.891

ICD-10-CM Codes Adjacent To Z87.891

Z87.790 Personal history of (corrected) congenital malformations of face and neck

Z87.798 Personal history of other (corrected) congenital malformations

Z87.8 Personal history of other specified conditions

Z87.81 Personal history of (healed) traumatic fracture

Z87.82 Personal history of other (healed) physical injury and trauma

Z87.820 Personal history of traumatic brain injury

Z87.821 Personal history of retained foreign body fully removed

Z87.828 Personal history of other (healed) physical injury and trauma

Z87.89 Personal history of other specified conditions

Z87.890 Personal history of sex reassignment

Z87.891 Personal history of nicotine dependence

Z87.892 Personal history of anaphylaxis

Z87.898 Personal history of other specified conditions

Z88 Allergy status to drugs, medicaments and biological substances

Z88.0 Allergy status to penicillin

Z88.1 Allergy status to other antibiotic agents

Z88.2 Allergy status to sulfonamides

Z88.3 Allergy status to other anti-infective agents

Z88.4 Allergy status to anesthetic agent

Z88.5 Allergy status to narcotic agent

Z88.6 Allergy status to analgesic agent

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

2023 ICD-10-CM Diagnosis Code Z87.891

Personal history of nicotine dependence

Nicotine dependence

Factors influencing health status and contact with health services

Persons with potential health hazards related to family and personal history and certain conditions influencing health status

Personal history of other diseases and conditions

Personal history of other specified conditions

Tobacco use

Nicotine dependence

Atherosclerosis

Mild cognitive impairment of uncertain or unknown etiology

Suppurative and unspecified otitis media

Malignant neoplasm of lip

Malignant neoplasm of base of tongue

Malignant neoplasm of other and unspecified parts of tongue

Chronic rhinitis, nasopharyngitis and pharyngitis

Chronic sinusitis

Malignant neoplasm of gum

Nasal polyp

Malignant neoplasm of floor of mouth

Malignant neoplasm of palate

Angina pectoris

Chronic diseases of tonsils and adenoids

Malignant neoplasm of other and unspecified parts of mouth

Personal history of malignant neoplasm

Acute myocardial infarction

Chronic laryngitis and laryngotracheitis

Malignant neoplasm of parotid gland

Malignant neoplasm of nasopharynx

Malignant neoplasm of larynx

Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx

Malignant neoplasm of pyriform sinus

Diseases of vocal cords and larynx, not elsewhere classified

Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs

Malignant neoplasm of other and unspecified major salivary glands

Malignant neoplasm of trachea

Malignant neoplasm of hypopharynx

Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction

Malignant neoplasm of bronchus and lung

Malignant neoplasm of tonsil

Bronchitis, not specified as acute or chronic

Simple and mucopurulent chronic bronchitis

Malignant neoplasm of oropharynx

Chronic ischemic heart disease

Carcinoma in situ of middle ear and respiratory system

Unspecified chronic bronchitis

Carcinoma in situ of lip, oral cavity and pharynx

Emphysema

Other chronic obstructive pulmonary disease

Asthma

Bronchiectasis

Gingivitis and periodontal diseases

Other respiratory disorders

Diseases of salivary glands

Stomatitis and related lesions

Diseases of tongue

Pulmonary edema

Other diseases of lip and oral mucosa

Tobacco use