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ICD-10-CM 2027

ICD-10 code for tobacco use counseling

Z71.6

Tobacco abuse counseling

✓ Billable / specificNot a principal dx

From the official ICD-10-CM alphabetic index entry “Counseling (for) › tobacco use”. Page updated September 29, 2026.

About coding tobacco use counseling

The ICD-10-CM code for tobacco use counseling is Z71.6 (Tobacco abuse counseling).

Within Z71 (persons encountering health services for other counseling and medical advice, not elsewhere classified), Z71.6 is specifically for tobacco abuse counseling. Related codes cover person encountering health services to consult on behalf of another person (Z71.0), person with feared health complaint in whom no diagnosis is made (Z71.1), person consulting for explanation of examination or test findings (Z71.2), dietary counseling and surveillance (Z71.3), alcohol abuse counseling and surveillance (Z71.4), drug abuse counseling and surveillance (Z71.5), human immunodeficiency virus [HIV] counseling (Z71.7), other specified counseling (Z71.8) and 1 more.

Use an additional code for nicotine dependence (F17.-).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

Common questions about tobacco use counseling ICD-10 codes

What is the ICD-10 code for tobacco use counseling?

Z71.6 — Tobacco abuse counseling.

Is Z71.6 billable?

Yes. Z71.6 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z71.6 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 Z71.6 a CC or MCC?

No. Z71.6 is neither a CC nor an MCC under MS-DRG v44.0.