ICD-10 Code F17.220 – Nicotine dependence, chewing tobacco, uncomplicated (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F17.220 – Nicotine dependence, chewing tobacco, uncomplicated
What it is
F17.220 identifies nicotine dependence related to chewing tobacco without documented complications. Use it when the patient has ongoing tobacco use with dependence, but no specified withdrawal, remission, or tobacco-related disorder.
Clinical signs
Typical findings include a strong urge to use chewing tobacco, difficulty cutting down, and continued use despite awareness of harm. Clinical features vary; refer to documentation.
When to use this code
Use this code when the record clearly states nicotine dependence on chewing tobacco and does not describe a more specific subtype or complication. It also fits encounters focused on counseling, assessment, or follow-up for dependence. Check documentation if the note mentions remission, withdrawal, or another tobacco product.
Do not use for
Do not use F17.220 for cigarette smoking, other tobacco use disorders, or nicotine dependence with complications or remission. If the documentation is unclear, check documentation.
Coding tip
Confirm the tobacco product and any associated status terms before assigning F17.220.