Z72.0 Tobacco use

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applicable to

• Tobacco use NOS

Excludes1 (never code together)

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

Applies from Z72 Problems related to lifestyle

Excludes2 (not included here)

• problems related to life-management difficulty (Z73.-)
• problems related to socioeconomic and psychosocial circumstances (Z55-Z65)

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V69.8 Other problems related to lifestyle (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to Z72.0

Back-references to Z72.0

• Use Additional: C00 Malignant neoplasm of lip ("tobacco use (Z72.0)")
• Use Additional: C01 Malignant neoplasm of base of tongue ("tobacco use (Z72.0)")
• Use Additional: C02 Malignant neoplasm of other and unspecified parts of tongue ("tobacco use (Z72.0)")
• Use Additional: C03 Malignant neoplasm of gum ("tobacco use (Z72.0)")
• Use Additional: C04 Malignant neoplasm of floor of mouth ("tobacco use (Z72.0)")
• Use Additional: C05 Malignant neoplasm of palate ("tobacco use (Z72.0)")
• Use Additional: C06 Malignant neoplasm of other and unspecified parts of mouth ("tobacco use (Z72.0)")
• Use Additional: C07 Malignant neoplasm of parotid gland ("tobacco use (Z72.0)")
• Use Additional: C08 Malignant neoplasm of other and unspecified major salivary glands ("tobacco use (Z72.0)")
• Use Additional: C09 Malignant neoplasm of tonsil ("tobacco use (Z72.0)")
• Use Additional: C10 Malignant neoplasm of oropharynx ("tobacco use (Z72.0)")
• Use Additional: C11 Malignant neoplasm of nasopharynx ("tobacco use (Z72.0)")
• Use Additional: C12 Malignant neoplasm of pyriform sinus ("tobacco use (Z72.0)")
• Use Additional: C13 Malignant neoplasm of hypopharynx ("tobacco use (Z72.0)")
• Use Additional: C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx ("tobacco use (Z72.0)")
• Use Additional: C32 Malignant neoplasm of larynx ("tobacco use (Z72.0)")
• Use Additional: C33 Malignant neoplasm of trachea ("tobacco use (Z72.0)")
• Use Additional: C34 Malignant neoplasm of bronchus and lung ("tobacco use (Z72.0)")
• Use Additional: C39 Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs ("tobacco use (Z72.0)")
• Use Additional: D00.0 Carcinoma in situ of lip, oral cavity and pharynx ("tobacco use (Z72.0)")
• Use Additional: D02 Carcinoma in situ of middle ear and respiratory system ("tobacco use (Z72.0)")
• Type 1 Excludes: F17 Nicotine dependence ("tobacco use NOS (Z72.0)")
• Use Additional: G31.84 Mild cognitive impairment of uncertain or unknown etiology ("tobacco use (Z72.0)")
• Use Additional: H65 Nonsuppurative otitis media ("tobacco use (Z72.0)")
• Use Additional: H66 Suppurative and unspecified otitis media ("tobacco use (Z72.0)")
• Use Additional: I20 Angina pectoris ("tobacco use (Z72.0)")
• Use Additional: I21 Acute myocardial infarction ("tobacco use (Z72.0)")
• Use Additional: I22 Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction ("tobacco use (Z72.0)")
• Use Additional: I25 Chronic ischemic heart disease ("tobacco use (Z72.0)")
• Use Additional: I70 Atherosclerosis ("tobacco use (Z72.0)")
• Use Additional: J37 Chronic laryngitis and laryngotracheitis ("tobacco use (Z72.0)")
• Use Additional: J40 Bronchitis, not specified as acute or chronic ("tobacco use (Z72.0)")
• Use Additional: J41 Simple and mucopurulent chronic bronchitis ("tobacco use (Z72.0)")
• Use Additional: J42 Unspecified chronic bronchitis ("tobacco use (Z72.0)")
• Use Additional: J45 Asthma ("tobacco use (Z72.0)")
• Use Additional: J47 Bronchiectasis ("tobacco use (Z72.0)")
• Use Additional: J81 Pulmonary edema ("tobacco use (Z72.0)")
• Use Additional: J98 Other respiratory disorders ("tobacco use (Z72.0)")
• Use Additional: K05 Gingivitis and periodontal diseases ("tobacco use (Z72.0)")
• Use Additional: K11 Diseases of salivary glands ("tobacco use (Z72.0)")
• Use Additional: K12 Stomatitis and related lesions ("tobacco use (Z72.0)")
• Use Additional: K13 Other diseases of lip and oral mucosa ("tobacco use (Z72.0)")
• Use Additional: K14 Diseases of tongue ("tobacco use (Z72.0)")
• Type 1 Excludes: Z77.22 Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic) ("tobacco use (Z72.0)")
• Use Additional: Z85 Personal history of malignant neoplasm ("tobacco use (Z72.0)")

Diagnosis Index entries for Z72.0

• Problem (with) (related to) › life-style › tobacco use
• Tobacco (nicotine) › harmful use
• Tobacco (nicotine) › use
• Use (of) › tobacco

Nearby codes

• Z72 Problems related to lifestyle
• Z72.0 Tobacco use (this code)
• Z72.3 Lack of physical exercise
• Z72.4 Inappropriate diet and eating habits
• Z72.5 High risk sexual behavior
• Z72.51 High risk heterosexual behavior
• Z72.52 High risk homosexual behavior