ICD-10 Code F17.218 – Nicotine dependence, cigarettes, with other nicotine-induced disorders (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F17.218 – Nicotine dependence, cigarettes, with other nicotine-induced disorders
What it is
This code identifies dependence on cigarettes when the patient also has another disorder caused by nicotine use. Use it when the chart supports both nicotine dependence and a separate nicotine-induced condition.
Clinical signs
Clinical features vary; refer to documentation. You may see nicotine craving, inability to cut down, or continued cigarette use despite a nicotine-related disorder being documented.
When to use this code
Use this code when the provider documents cigarette dependence plus another nicotine-induced disorder, such as a related psychiatric or physical condition. The record should clearly connect the additional disorder to nicotine use. Check documentation if the secondary condition is not specified.
Do not use for
Do not use this code for cigarette dependence alone or for nicotine use without dependence. Do not assign it when the chart does not identify another nicotine-induced disorder.
Coding tip
Verify that both the dependence and the nicotine-induced disorder are documented before assigning F17.218.