F17.220
Nicotine dependence, chewing tobacco, uncomplicated
F17.220 (also written F17220) is a billable ICD-10-CM diagnosis code for nicotine dependence, chewing tobacco, uncomplicated. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 20 codes in category F17 (Nicotine dependence). The Alphabetic Index lists it under 1 entry. 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.
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.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (1 note)
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Home Health Primary
Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Behavioral Health clinical group.
Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026Includes
Further defines or gives examples of the content of the category.
Also from chapter/block level (1 note)
- disorders of psychological development
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 1 entry