Nicotine dependence, cigarettes, w unsp disorders

This code signifies a patient's physiological or psychological dependence on nicotine, specifically from cigarette use, when the specific nicotine-induced disorder is not documented. It indicates a chronic, relapsing brain disease characterized by compulsive nicotine seeking and use despite harmful consequences. This dependence can manifest with withdrawal symptoms, tolerance, and unsuccessful attempts to cut down or quit.

Use this code when documentation clearly indicates nicotine dependence due to cigarette smoking, but the provider has not specified a particular nicotine-induced disorder (e.g., nicotine withdrawal, nicotine-induced anxiety disorder). This code is appropriate when the medical record simply states "nicotine dependence, cigarettes" or "tobacco use disorder, cigarettes" without further detail on associated conditions.

• Do not use this code if a specific nicotine-induced disorder is documented; instead, code to the more specific F17.21x subcategory.
• Always query the provider for clarification if a specific nicotine-induced disorder is suspected but not documented.
• This code can be sequenced as a primary or secondary diagnosis depending on the reason for the encounter and the patient's other conditions.