ICD-10 Code F17.229 – Nicotine Dependence, Chewing Tobacco, with Unspecified Nicotine-Induced Disorders (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F17.229 – Nicotine dependence, chewing tobacco, with unspecified nicotine-induced disorders
What it is
This code identifies dependence on chewing tobacco when a nicotine-induced disorder is present but not specified. Use it when documentation confirms chewing tobacco dependence and a related nicotine effect, without naming the exact disorder.
Clinical signs
Clinical features vary; refer to documentation. You may see dependence behaviors, withdrawal symptoms, or nicotine-related effects, but the record must link the disorder to chewing tobacco use.
When to use this code
Use this code when the clinician documents chewing tobacco dependence and an unspecified nicotine-induced disorder. It is appropriate when the nicotine-related condition is mentioned but not described in enough detail for a more specific code.
Apply it only if the chart clearly supports both dependence and a nicotine-induced disorder. If the note names a specific tobacco product or a different nicotine-related condition, code that documentation instead.
Do not use for
Do not use this code for simple chewing tobacco use without dependence, or for nicotine-induced disorders tied to another tobacco product. Check documentation if the record does not clearly identify chewing tobacco.
Coding tip
Verify that the dependence and nicotine-induced disorder are both documented before assigning F17.229.