ICD-10-CM 2027 diagnosis code
Z81.2Family history of tobacco abuse and dependence
Z81.2 is a valid, billable ICD-10-CM code for family history of tobacco abuse and dependence. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About Z81.2
Z81.2 is the ICD-10-CM diagnosis code for family history of tobacco abuse and dependence. It belongs to category Z81 (family history of mental and behavioral disorders), block Z77-Z99 (persons with potential health hazards related to family and personal history and certain conditions influencing health status) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within Z81 (family history of mental and behavioral disorders), Z81.2 is specifically for family history of tobacco abuse and dependence. Related codes cover intellectual disabilities (Z81.0), alcohol abuse and dependence (Z81.1), other psychoactive substance abuse and dependence (Z81.3), other substance abuse and dependence (Z81.4) and other mental and behavioral disorders (Z81.8).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.
It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as V19.8 (family history of other condition).
Coding notes
- Conditions classifiable to F17.-
Notes that apply from higher levels
Instructions written at a parent level also apply to Z81.2.
Alphabetic index entries
2 entriesTerms in the official ICD-10-CM index that lead to Z81.2.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services
ICD-9-CM equivalent
Converter →- V19.8Family history of other conditionapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about Z81.2
Is Z81.2 billable?
- Yes. Z81.2 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can Z81.2 be used as a principal diagnosis?
- No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.
Is Z81.2 a CC or MCC?
- No. Z81.2 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does Z81.2 group to?
- Z81.2 is used in the MS-DRG v44.0 logic for MS-DRG 951 (Other Factors Influencing Health Status). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.