ICD-10 Code F17.213 – Nicotine Dependence, Cigarettes, with Withdrawal (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F17.213 – Nicotine dependence, cigarettes, with withdrawal
What it is
F17.213 identifies nicotine dependence tied to cigarette use when withdrawal symptoms are present. Use it when the patient is addicted to cigarettes and is experiencing withdrawal after reducing or stopping use.
Clinical signs
Clinical features vary; refer to documentation. Common withdrawal findings include irritability, anxiety, restlessness, difficulty concentrating, and increased appetite after nicotine reduction or cessation.
When to use this code
Use this code when the record clearly documents cigarette dependence plus nicotine withdrawal. It is appropriate during visits for cessation-related symptoms, counseling, or follow-up after stopping smoking. You should support the diagnosis with provider documentation of both dependence and withdrawal.
Do not use for
Do not use this code for uncomplicated nicotine dependence without withdrawal, or for dependence on non-cigarette nicotine products. Check documentation if the chart only says smoking history or tobacco use.
Coding tip
Confirm that both cigarette dependence and withdrawal are documented before assigning F17.213.