Skip to content
Dx

ICD-10-CM 2027

ICD-10 code for use tobacco

Z72.0

Tobacco use

✓ Billable / specificNot a principal dx

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

About coding use tobacco

The ICD-10-CM code for use tobacco is Z72.0 (Tobacco use). The official index lists 5 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on Z72.0.

Within Z72 (problems related to lifestyle), Z72.0 is specifically for tobacco use. Related codes cover lack of physical exercise (Z72.3), inappropriate diet and eating habits (Z72.4), high risk sexual behavior (Z72.5), gambling and betting (Z72.6), other problems related to lifestyle (Z72.8) and problem related to lifestyle, unspecified (Z72.9).

Don't report Z72.0 together with the conditions in its Excludes1 note: history of tobacco dependence (Z87.891), nicotine dependence (F17.2-), tobacco dependence (F17.2-) and tobacco use during pregnancy (O99.33-).

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

More specific use tobacco codes (official index)

  • complicating
  • childbirth O99.334 — Smoking (tobacco) complicating childbirth
  • pregnancy O99.33 — Tobacco use disorder complicating pregnancy, childbirth, and the puerperium
  • puerperium O99.335 — Smoking (tobacco) complicating the puerperium
  • counseling and surveillance Z71.6 — Tobacco abuse counseling
  • history Z87.891 — Personal history of nicotine dependence

Don't confuse with (Excludes1 for Z72.0)

  • history of tobacco dependence (Z87.891)
  • nicotine dependence (F17.2-)
  • tobacco dependence (F17.2-)
  • tobacco use during pregnancy (O99.33-)

Common questions about use tobacco ICD-10 codes

What is the ICD-10 code for use tobacco?

Z72.0 — Tobacco use. More specific codes apply when the documentation supports them: O99.334, O99.33, O99.335, Z71.6 and others below.

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

Z71.6 — Tobacco abuse counseling.

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

Z87.891 — Personal history of nicotine dependence.

Is Z72.0 billable?

Yes. Z72.0 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z72.0 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 Z72.0 a CC or MCC?

No. Z72.0 is neither a CC nor an MCC under MS-DRG v44.0.