ICD-10 Code F17.223 – Nicotine Dependence, Chewing Tobacco, with Withdrawal (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F17.223 – Nicotine dependence, chewing tobacco, with withdrawal
What it is
This code identifies dependence on chewing tobacco with documented nicotine withdrawal. Use it when the record shows both ongoing dependence and withdrawal symptoms after reduction or cessation.
Clinical signs
Common withdrawal features include irritability, restlessness, anxiety, difficulty concentrating, and increased appetite. Clinical features vary; refer to documentation.
When to use this code
Use this code when the clinician documents chewing tobacco dependence and notes withdrawal during quitting, cutting down, or interrupted access. The chart should support both the dependence and the withdrawal state. If the record only says tobacco use or dependence without withdrawal, check documentation.
Do not use for
Do not use this code for uncomplicated chewing tobacco dependence without withdrawal. Also avoid it when the patient uses other tobacco forms or nicotine products and the record does not specify chewing tobacco.
Coding tip
Link the withdrawal diagnosis to the specific tobacco form documented, because ICD-10 distinguishes chewing tobacco from other nicotine dependence codes.