ICD-10 Code F17.228 – Nicotine dependence, chewing tobacco, with other nicotine-induced disorders (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F17.228 – Nicotine dependence, chewing tobacco, with other nicotine-induced disorders
What it is
This code identifies dependence on chewing tobacco when the patient also has another nicotine-induced disorder. Use it when the record shows both nicotine dependence and a linked nicotine-related condition.
Clinical signs
Clinical features vary; refer to documentation. You may see compulsive chewing tobacco use, withdrawal concerns, or nicotine-related symptoms that the clinician specifically attributes to tobacco use.
When to use this code
Use F17.228 when the provider documents chewing tobacco dependence plus another nicotine-induced disorder, such as a nicotine-related condition tied to the same exposure. Check that the additional disorder is clearly documented and not merely suspected.
Code the dependence separately only when the note supports it. If the chart mentions chewing tobacco use without dependence or another nicotine-induced disorder, this code is not appropriate.
Do not use for
Do not use this code for simple tobacco use, unspecified nicotine dependence, or nicotine-related disorders from other tobacco products. Check documentation if the type of tobacco or the associated disorder is unclear.
Coding tip
Confirm both elements in the record: chewing tobacco dependence and the specific nicotine-induced disorder.