Nicotine dependence, cigarettes, in remission

This code signifies a patient's historical dependence on nicotine, specifically from cigarette use, where they are currently abstinent and have been for a sustained period. It indicates a past diagnosis of nicotine addiction to cigarettes that is no longer active, but the potential for relapse remains.

Apply this code when documentation clearly states a history of cigarette dependence with current remission, meaning the patient has successfully stopped smoking. This is often used for patients who have completed a smoking cessation program and maintained abstinence, or for those who spontaneously quit and remain smoke-free.

• Ensure documentation specifies "cigarettes" as the nicotine source and explicitly states "in remission."
• Do not use for current nicotine dependence or for dependence on other nicotine products (e.g., cigars, chewing tobacco).
• Consider co-reporting with Z87.891 (Personal history of nicotine dependence) if the provider wishes to emphasize the historical aspect without implying current remission status.