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CMS Transmittals



National Coverage Determination
Procedure Code: 8XXXX
Counseling to Prevent Tobacco Use
CMS Policy Number: 210.4.1

See also: Medicare Preventive Services

Back to NCD List



To review all requirements of this policy, please see: CMS NCD listing by Chapter

Covered ICD-10 Codes.

ICD-10Descriptor
F17.210 Nicotine dependence, cigarettes, uncomplicated
F17.211 Nicotine dependence, cigarettes, in remission
F17.213 Nicotine dependence, cigarettes, with withdrawal
F17.218 Nicotine dependence, cigarettes, w oth disorders
F17.219 Nicotine dependence, cigarettes, w unsp disorders
F17.220 Nicotine dependence, chewing tobacco, uncomplicated
F17.221 Nicotine dependence, chewing tobacco, in remission
F17.223 Nicotine dependence, chewing tobacco, with withdrawal
F17.228 Nicotine dependence, chewing tobacco, w oth disorders
F17.229 Nicotine dependence, chewing tobacco, w unsp disorders
F17.290 Nicotine dependence, other tobacco product, uncomplicated
F17.291 Nicotine dependence, other tobacco product, in remission
F17.293 Nicotine dependence, other tobacco product, with withdrawal
F17.298 Nicotine dependence, oth tobacco product, w oth disorders
F17.299 Nicotine dependence, oth tobacco product, w unsp disorders
T65.211A Toxic effect of chewing tobacco, accidental, init
T65.212A Toxic effect of chewing tobacco, intentional self-harm, init
T65.213A Toxic effect of chewing tobacco, assault, initial encounter
T65.214A Toxic effect of chewing tobacco, undetermined, init encntr
T65.221A Toxic effect of tobacco cigarettes, accidental, init
T65.222A Toxic effect of tobacco cigarettes, self-harm, init
T65.223A Toxic effect of tobacco cigarettes, assault, init encntr
T65.224A Toxic effect of tobacco cigarettes, undetermined, init
T65.291A Toxic effect of tobacco and nicotine, accidental, init
T65.292A Toxic effect of tobacco and nicotine, self-harm, init
T65.293A Toxic effect of oth tobacco and nicotine, assault, init
T65.294A Toxic effect of oth tobacco and nicotine, undetermined, init
Z87.891 Personal history of nicotine dependence

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