Z87.891 Personal history of nicotine dependence

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

Excludes1 (never code together)

• current nicotine dependence (F17.2-)

Applies from Z87 Personal history of other diseases and conditions

Code first

• any follow-up examination after treatment (Z09)

Applies from Z87.8 Personal history of other specified conditions

Excludes2 (not included here)

• personal history of self harm (Z91.5-)

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• V15.82 Personal history of tobacco use (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 Z87.891

Back-references to Z87.891

• Use Additional: C00 Malignant neoplasm of lip ("history of tobacco dependence (Z87.891)")
• Use Additional: C01 Malignant neoplasm of base of tongue ("history of tobacco dependence (Z87.891)")
• Use Additional: C02 Malignant neoplasm of other and unspecified parts of tongue ("history of tobacco dependence (Z87.891)")
• Use Additional: C03 Malignant neoplasm of gum ("history of tobacco dependence (Z87.891)")
• Use Additional: C04 Malignant neoplasm of floor of mouth ("history of tobacco dependence (Z87.891)")
• Use Additional: C05 Malignant neoplasm of palate ("history of tobacco dependence (Z87.891)")
• Use Additional: C06 Malignant neoplasm of other and unspecified parts of mouth ("history of tobacco dependence (Z87.891)")
• Use Additional: C07 Malignant neoplasm of parotid gland ("history of tobacco dependence (Z87.891)")
• Use Additional: C08 Malignant neoplasm of other and unspecified major salivary glands ("history of tobacco dependence (Z87.891)")
• Use Additional: C09 Malignant neoplasm of tonsil ("history of tobacco dependence (Z87.891)")
• Use Additional: C10 Malignant neoplasm of oropharynx ("history of tobacco dependence (Z87.891)")
• Use Additional: C11 Malignant neoplasm of nasopharynx ("history of tobacco dependence (Z87.891)")
• Use Additional: C12 Malignant neoplasm of pyriform sinus ("history of tobacco dependence (Z87.891)")
• Use Additional: C13 Malignant neoplasm of hypopharynx ("history of tobacco dependence (Z87.891)")
• Use Additional: C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx ("history of tobacco dependence (Z87.891)")
• Use Additional: C32 Malignant neoplasm of larynx ("history of tobacco dependence (Z87.891)")
• Use Additional: C33 Malignant neoplasm of trachea ("history of tobacco dependence (Z87.891)")
• Use Additional: C34 Malignant neoplasm of bronchus and lung ("history of tobacco dependence (Z87.891)")
• Use Additional: C39 Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs ("history of tobacco dependence (Z87.891)")
• Use Additional: D00.0 Carcinoma in situ of lip, oral cavity and pharynx ("history of tobacco dependence (Z87.891)")
• Use Additional: D02 Carcinoma in situ of middle ear and respiratory system ("history of tobacco dependence (Z87.891)")
• Type 1 Excludes: F17 Nicotine dependence ("history of tobacco dependence (Z87.891)")
• Use Additional: G31.84 Mild cognitive impairment of uncertain or unknown etiology ("history of tobacco dependence (Z87.891)")
• Use Additional: H65 Nonsuppurative otitis media ("history of tobacco dependence (Z87.891)")
• Use Additional: H66 Suppurative and unspecified otitis media ("history of tobacco dependence (Z87.891)")
• Use Additional: I20 Angina pectoris ("history of tobacco dependence (Z87.891)")
• Use Additional: I21 Acute myocardial infarction ("history of tobacco dependence (Z87.891)")
• Use Additional: I22 Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction ("history of tobacco dependence (Z87.891)")
• Use Additional: I25 Chronic ischemic heart disease ("history of tobacco dependence (Z87.891)")
• Use Additional: I70 Atherosclerosis ("history of tobacco dependence (Z87.891)")
• Use Additional: J37 Chronic laryngitis and laryngotracheitis ("history of tobacco dependence (Z87.891)")
• Use Additional: J40 Bronchitis, not specified as acute or chronic ("history of tobacco dependence (Z87.891)")
• Use Additional: J41 Simple and mucopurulent chronic bronchitis ("history of tobacco dependence (Z87.891)")
• Use Additional: J42 Unspecified chronic bronchitis ("history of tobacco dependence (Z87.891)")
• Use Additional: J45 Asthma ("history of tobacco dependence (Z87.891)")
• Use Additional: J47 Bronchiectasis ("history of tobacco dependence (Z87.891)")
• Use Additional: J81 Pulmonary edema ("history of tobacco dependence (Z87.891)")
• Use Additional: J98 Other respiratory disorders ("history of tobacco dependence (Z87.891)")
• Use Additional: K05 Gingivitis and periodontal diseases ("history of tobacco dependence (Z87.891)")
• Use Additional: K11 Diseases of salivary glands ("history of tobacco dependence (Z87.891)")
• Use Additional: K12 Stomatitis and related lesions ("history of tobacco dependence (Z87.891)")
• Use Additional: K13 Other diseases of lip and oral mucosa ("history of tobacco dependence (Z87.891)")
• Use Additional: K14 Diseases of tongue ("history of tobacco dependence (Z87.891)")
• Type 1 Excludes: Z72.0 Tobacco use ("history of tobacco dependence (Z87.891)")
• Use Additional: Z85 Personal history of malignant neoplasm ("history of tobacco dependence (Z87.891)")

Back-references to Z87

• Use Additional: Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm ("code to identify any applicable history of disease code (Z86.-, Z87.-)")

Diagnosis Index entries for Z87.891

• History › personal (of) › nicotine dependence
• History › personal (of) › tobacco dependence
• Tobacco (nicotine) › use › history

Nearby codes

• Z87.820 Personal history of traumatic brain injury
• Z87.821 Personal history of retained foreign body fully removed
• Z87.828 Personal history of other (healed) physical injury and trauma
• Z87.89 Personal history of other specified conditions
• Z87.890 Personal history of sex reassignment
• Z87.891 Personal history of nicotine dependence (this code)
• Z87.892 Personal history of anaphylaxis
• Z87.898 Personal history of other specified conditions