ICD-10-CM Diagnosis Code Z72.0 - Tobacco use (original) (raw)
ICD List 2025-2026 Edition
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- 2026 ICD-10-CM Code Z72.0
Tobacco use
ICD-10-CM Code:
Z72.0
ICD-10 Code for:
Tobacco use
Is Billable?
Yes - Valid for Submission
Code Navigator:
Z72.0 is a billable diagnosis code used to specify a medical diagnosis of tobacco use. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
- Code Information
- Approximate Synonyms
- Clinical Classification
- Clinical Information
- Tabular List of Diseases and Injuries
- Index to Diseases and Injuries References
- Code Edits
- Present on Admission (POA)
- Convert to ICD-9 Code
- Patient Education
- Other Codes Used Similar Conditions
- Code History
- Factors influencing health status and contact with health services
Z00–Z99
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Admitted tobacco consumption possibly untrue
- At increased risk from fire
- Chain smoker
- Chews fine cut tobacco
- Chews loose leaf tobacco
- Chews plug tobacco
- Chews products containing tobacco
- Chews tobacco
- Chews twist tobacco
- Cigar smoker
- Cigarette smoker
- Cigarette smoker
- Failed attempt to stop smoking
- Finding relating to moist tobacco use
- Finding relating to moist tobacco use
- Finding relating to moist tobacco use
- Finding relating to tobacco chewing
- Finding relating to tobacco chewing
- Finding relating to tobacco chewing
- Finding relating to tobacco chewing
- Finding relating to tobacco chewing
- Finding relating to tobacco chewing
- Harmful pattern of use of nicotine
- Harmful pattern of use of nicotine
- Harmful pattern of use of tobacco
- Heavy cigarette smoker
- Heavy cigarette smoker
- Heavy smoker
- Heavy tobacco smoker
- Hookah pipe smoker
- Keeps trying to stop smoking
- Light cigarette smoker
- Light tobacco smoker
- Maternal harmful pattern of use of tobacco
- Nicotine user
- Nondependent harmful pattern of use of tobacco
- Not interested in stopping smoking
- Occasional cigarette smoker
- Occasional smokeless tobacco user
- Occasional tobacco smoker
- Pipe smoker
- Ready to stop smoking
- Rolls own cigarettes
- Smoked before confirmation of pregnancy
- Smokeless tobacco keratosis
- Smoker's respiratory syndrome
- Smokes cigarette daily
- Smokes in bed
- Smokes tobacco daily
- Smoking reduced
- Smoking restarted
- Smoking started
- Smoking started
- Snuff use - finding
- Snuff user
- Thinking about stopping smoking
- Tobacco user
- Trivial cigarette smoker
- Trying to give up smoking
- User of moist powdered tobacco
- User of smokeless tobacco
- Uses moist tobacco daily
- Uses moist tobacco occasionally
- Uses smokeless tobacco daily
- Very heavy cigarette smoker
- Very heavy cigarette smoker
- Very heavy cigarette smoker
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
CCSR Code: FAC020
Inpatient Default: X - Not applicable.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Tobacco Use
use of tobacco (nicotiana tabacum l) and tobacco products.
Tobacco Use Cessation
ending the tobacco habits of smoking, chewing, or snuff use.
Tobacco Use Cessation Devices
devices or delivery systems used to aid in ending a tobacco habit.
Tobacco Use Disorder
tobacco used to the detriment of a person's health or social functioning. tobacco dependence is included.
Cigarette Smoker
an individual who currently, or recently, smokes cigarettes regularly.
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Tobacco (nicotine)
- - harmful use - Z72.0
- - use - Z72.0
- - Use (of)
- - tobacco - Z72.0
References found for this diagnosis code in the External Cause of Injuries Index:
- Problem(with) (related to)
- life-style
- tobacco use
- life-style
- Tobacco(nicotine)
- harmful use
- Tobacco(nicotine)
- use
- Use(of)
- tobacco
The Medicare Code Editor (MCE) detects errors and inconsistencies in ICD-10-CM diagnosis coding that can affect Medicare claim validity. These Medicare code edits help medical coders and billing professionals determine when a diagnosis code is not appropriate as a principal diagnosis, does not meet coverage criteria. Use this list to verify whether a code is valid for Medicare billing and to avoid claim rejections or denials due to diagnosis coding issues.
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.
Z72.0 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
POA Indicator: Y
Reason: Diagnosis was present at time of inpatient admission.
CMS Pays CC/MCC DRG? YES
POA Indicator: N
Reason: Diagnosis was not present at time of inpatient admission.
CMS Pays CC/MCC DRG? NO
POA Indicator: U
Reason: Documentation insufficient to determine if the condition was present at the time of inpatient admission.
CMS Pays CC/MCC DRG? NO
POA Indicator: W
Reason: Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.
CMS Pays CC/MCC DRG? YES
POA Indicator: 1
Reason: Unreported/Not used - Exempt from POA reporting.
CMS Pays CC/MCC DRG? NO
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
ICD-9-CM: V69.8
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Smokeless Tobacco
Many people who chew tobacco or dip snuff think it's safer than smoking. But you don't have to smoke tobacco for it to be dangerous. Chewing or dipping carries risks like:
- Cancer of the mouth
- Decay of exposed tooth roots
- Pulling away of the gums from the teeth
- White patches or red sores in the mouth that can turn to cancer
Recent research shows the dangers of smokeless tobacco may go beyond the mouth. It might also play a role in other cancers, heart disease and stroke.
Smokeless tobacco contains more nicotine than cigarettes. Nicotine is a highly addictive drug that makes it hard to stop using tobacco once you start. Having a quit date and a quitting plan can help you stop successfully.
NIH: National Institute of Dental and Craniofacial Research
Smoking
What are the health effects of smoking?
There's no way around it; smoking is bad for your health. It harms nearly every organ of the body, even some that you would not expect. Cigarette smoking causes many cancers and other health problems. It is also the cause of nearly one in five deaths in the United States.
Some of the many health problems that smoking can cause include:
- Cancers. Smoking is the most common cause of lung and oral cancers. But it can also cause cancer in many other parts of your body, such as in your larynx (voice box), esophagus, throat, bladder, kidney, liver, stomach, pancreas, colon and rectum, and cervix. It can also cause acute myeloid leukemia (AML).
- Lung diseases. Smoking is the most common cause of COPD. It can also worsen asthma and raise your risk of pneumonia.
- Cardiovascular diseases. Smoking can damage your blood vessels and make them thicken and grow narrower. This makes your heart beat faster and raises your blood pressure. Smoking also increases your risk of blood clots and stroke.
- Vision problems. Smoking can raise your risk of cataracts and cause macular degeneration (AMD).
You have a greater chance of certain pregnancy problems if you smoke while pregnant. Your baby is also at higher risk of dying of sudden infant death syndrome (SIDS).
Smoking also causes addiction to nicotine, a stimulant drug that is in tobacco. Nicotine addiction makes it much harder for people to quit smoking.
What are the health risks of secondhand smoke?
Your smoke is also bad for other people. If they breathe in your secondhand smoke, they can get many of the same problems as smokers do. These problems can include heart disease and lung cancer. Children exposed to secondhand smoke have a higher risk of ear infections, colds, pneumonia, bronchitis, and more severe asthma. If you breathe secondhand smoke while pregnant, you're more likely to have preterm labor and a baby with low birth weight.
Are other forms of tobacco also dangerous?
Besides cigarettes, there are several other forms of tobacco. Some people smoke tobacco in cigars and water pipes (hookahs). These forms of tobacco also contain harmful chemicals and nicotine. Some cigars contain as much tobacco as an entire pack of cigarettes.
E-cigarettes often look like cigarettes, but they work differently. They are battery-operated smoking devices. Using an e-cigarette is called vaping. Researchers still have a lot to learn about the health effects of using e-cigarettes. We do know that they contain nicotine, which is highly addictive and a health danger to you and your fetus if you are pregnant, children, and teens. And e-cigarettes also expose non-smokers to secondhand aerosols (rather than secondhand smoke), which contain harmful chemicals.
Smokeless tobacco, such as chewing tobacco and snuff, is also bad for your health. Smokeless tobacco can cause certain cancers, including oral cancer. It also increases your risk of getting heart disease, gum disease, and oral lesions.
Why should I quit?
Remember, there is no safe level of tobacco use. Smoking even just one cigarette per day over a lifetime can cause smoking-related cancers and premature death. Quitting smoking can reduce your risk of health problems and add years to your life. The earlier you quit, the greater the benefit. Some immediate benefits of quitting include:
- Lower heart rate and blood pressure
- Less carbon monoxide in the blood (carbon monoxide reduces the blood's ability to carry oxygen)
- Better circulation
- Less coughing and wheezing
Quitting smoking can be challenging, but it is so important for your health. Contact your health care provider if you need help quitting.
FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026
FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
