ICD-10 Code F17.22 – Nicotine dependence, chewing tobacco (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F17.22 – Nicotine dependence, chewing tobacco
What it is
F17.22 identifies dependence on nicotine from chewing tobacco. Use it when the record documents a pattern of tobacco chewing with addiction or dependence, not just casual use.
Clinical signs
Clinical features may include craving, difficulty cutting down, and continued use despite harm. Clinical features vary; refer to documentation.
When to use this code
Use F17.22 when the clinician documents nicotine dependence specifically tied to chewing tobacco, dip, or snuff. It also fits when the note clearly states tobacco chewing dependence, tobacco addiction, or similar wording. Check documentation if the product type is unclear.
Do not use for
Do not use this code for simple tobacco use without dependence, or for dependence on cigarettes or other nicotine products. If the record does not specify chewing tobacco, check documentation.
Coding tip
Code the tobacco form exactly as documented, and verify whether dependence is stated rather than use alone.