2026 ICD-10-CM Diagnosis Code Z87.891Personal history of nicotine dependence

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z87

ICD-10-CM Z87.891
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z87.891 is a billable ICD-10-CM diagnosis code for personal history of nicotine dependence. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of nicotine dependence.

Code Identity

ICD-10-CM Code
Z87.891
Billable Status
Yes — Valid for Submission
Code Describes
Personal history of nicotine dependence
Short Description
Personal history of nicotine dependence
Same as the full description in the CMS dataset.
Parent Code
Z87.89
Personal history of other specified conditions

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ87Personal history of other diseases and conditions
This CodeZ87.891Personal history of nicotine dependence

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z87.891.

Unacceptable principal diagnosis
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.

Present on Admission (POA)Billing

Z87.891 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Aggressive ex-smoker
  • Does not chew tobacco
  • Does not use snuff
  • Ex-cigar smoker
  • Ex-cigarette smoker
  • Ex-cigarette smoker amount unknown
  • Ex-heavy cigarette smoker
  • Ex-light cigarette smoker
  • Ex-moderate cigarette smoker
  • Ex-pipe smoker
  • Ex-smoker
  • Ex-smoker for less than 1 year
  • Ex-smoker for more than 1 year
  • Ex-snuff user
  • Ex-tobacco chewer
  • Ex-tobacco user
  • Ex-user of moist powdered tobacco
  • Ex-very heavy cigarette smoker
  • Finding relating to moist tobacco use
  • Finding relating to tobacco chewing
  • Former heavy tobacco smoker
  • Former light tobacco smoker
  • Former smokeless tobacco user
  • History of nicotine dependence
  • History of substance dependency
  • History of tobacco use in remission less than 12 months
  • Intolerant ex-smoker
  • Smokeless tobacco non-user
  • Smoking monitoring status
  • Smoking restarted
  • Smoking started
  • Snuff use - finding
  • Stop smoking monitoring check done
  • Tobacco non-user
  • Tolerant ex-smoker
  • Tolerant non-smoker

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • current nicotine dependence F17.2

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

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

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC026
Personal history of nicotine dependence
Default principal diagnosis: inpatient No · outpatient Yes

Clinical InformationClinical

  • Personal History of Nicotine Dependence

    an individual history of dependence on products containing nicotine.

Patient EducationClinical

E-Cigarettes

E-cigarettes, or electronic cigarettes, are battery-operated smoking devices. They often look like cigarettes, but work differently. Using an e-cigarette is called vaping. The user puffs on the mouthpiece of a cartridge. This causes a vaporizer to heat the liquid inside the cartridge.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z87.891 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V15.82 History of tobacco use
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z87.891Overview

Is Z87.891 (Personal history of other specified conditions) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report personal history of nicotine dependence on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z87.891 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of nicotine dependence describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z87.891 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for personal history of nicotine dependence on inpatient claims.

What is the ICD-9 equivalent of Z87.891?

Under the General Equivalence Mappings, personal history of nicotine dependence converts to ICD-9-CM V15.82 (history of tobacco use). The mapping is approximate, so confirm the match fits the documentation.