Alphabetic Index FY2027

F17.22

Nicotine dependence, chewing tobacco

FY2027Chapter 5: Mental, Behavioral and Neurodevelopmental disorders/F10–F19 Mental and behavioral disorders due to psychoactive substance use

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

F17.22 is a non-billable ICD-10-CM code header for nicotine dependence, chewing tobacco. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are 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, with other nicotine-induced disorders and 1 more. Its coding notes include 2 Excludes1 entries and 3 Excludes2 entries.

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

When use, abuse and dependence of the same substance are all documented, one code is assigned, by a set hierarchy.

Guidelines I.C.5.b.2Substance use, abuse and dependence: only one codeRead the official text

A medical condition due to substance use is coded from the Alphabetic Index along with the substance use, abuse or dependence code, not as a substance-induced disorder.

Guidelines I.C.5.b.4Medical conditions due to substance useRead the official text

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from F17 Nicotine dependence
  • history of tobacco dependence (Z87.891)
  • tobacco use NOS (Z72.0)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from F17 Nicotine dependence
  • tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
  • toxic effect of nicotine (T65.2-)
Also from chapter/block level (1 note)
Inherited from Chapter 5 Mental, Behavioral and Neurodevelopmental disorders
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Includes

Further defines or gives examples of the content of the category.

Also from chapter/block level (1 note)
Inherited from Chapter 5 Mental, Behavioral and Neurodevelopmental disorders
  • disorders of psychological development

More specific codes under F17.22 5