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- harmful use - Z72.0 - use - Z72.0 Index of External Cause of Injuries References found for this diagnosis code in the External Cause of Injuries Index: Problem(with) (related to) life-style tobacco use Tobacco(nicotine) harmful use Tobacco(nicotine) use Use(of) tobacco Code Edits The Medicare Code Editor (MCE) detects errors and inconsistencies in ICD-10-CM diagnosis coding that can affect Medicare claim validity