Skip to content
Dx

ICD-10-CM 2027 diagnosis code

Z87.891Personal history of nicotine dependence

✓ Billable / specificPOA exemptNot a principal dx

Z87.891 is a valid, billable ICD-10-CM code for personal history of nicotine 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 Z87.891

Z87.891 is the ICD-10-CM diagnosis code for personal history of nicotine dependence. It belongs to category Z87 (personal history of other diseases and conditions), 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 Z87.89 (personal history of other specified conditions), Z87.891 is specifically for personal history of nicotine dependence. Related codes cover sex reassignment (Z87.890), anaphylaxis (Z87.892), gender detransition (Z87.893) and other specified conditions (Z87.898).

Don't report Z87.891 together with the conditions in its Excludes1 note: current nicotine dependence (F17.2-).

Code first: any follow-up examination after treatment (Z09).

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 V15.82 (personal history of tobacco use).

Coding notes

Excludes1Not coded here — never report together with this code
  • current nicotine dependence (F17.2-)

Notes that apply from higher levels

Instructions written at a parent level also apply to Z87.891.

› From Z87.8 Personal history of other specified conditions
Excludes2
  • personal history of self harm (Z91.5-)
› From Z87 Personal history of other diseases and conditions
Code first
  • any follow-up examination after treatment (Z09)

Broader instructions also apply from 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.

Alphabetic index entries

3 entries

Terms in the official ICD-10-CM index that lead to Z87.891.

Codes whose notes reference Z87.891

  • C00Use additional code
  • C01Use additional code
  • C02Use additional code
  • C03Use additional code
  • C04Use additional code
  • C05Use additional code
  • C06Use additional code
  • C07Use additional code
  • C08Use additional code
  • C09Use additional code
  • C10Use additional code
  • C11Use additional code
  • C12Use additional code
  • C13Use additional code
  • C14Use additional code
  • C32Use additional code
  • C33Use additional code
  • C34Use additional code
  • C39Use additional code
  • D00.0Use additional code
  • D02Use additional code
  • F17Excludes1
  • G31.84Use additional code
  • H65Use additional code
  • H66Use additional code
  • I20Use additional code
  • I21Use additional code
  • I22Use additional code
  • I25Use additional code
  • I70Use additional code
  • J37Use additional code
  • J40Use additional code
  • J41Use additional code
  • J42Use additional code
  • J45Use additional code
  • J47Use additional code
  • J81Use additional code
  • J98Use additional code
  • K05Use additional code
  • K11Use additional code
  • K12Use additional code
  • K13Use additional code
  • K14Use additional code
  • Z72.0Excludes1
  • Z85Use additional code

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 →
  • V15.82Personal history of tobacco useapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about Z87.891

Is Z87.891 billable?

Yes. Z87.891 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z87.891 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 Z87.891 a CC or MCC?

No. Z87.891 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z87.891 group to?

Z87.891 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.

What is the ICD-9 code for Z87.891?

The CMS General Equivalence Mappings map Z87.891 to ICD-9-CM V15.82.