ICD-10 Code F17.221 – Nicotine dependence, chewing tobacco, in remission (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F17.221 – Nicotine dependence, chewing tobacco, in remission
What it is
This code identifies a past nicotine dependence on chewing tobacco that is now in remission. Use it when the patient is no longer actively dependent, but the history of dependence remains clinically relevant.
Clinical signs
Patients typically report prior chewing tobacco use with dependence features such as craving or difficulty stopping. In remission, current dependence symptoms are absent or not active; 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 also indicates remission, recovery, or no current dependence. It is appropriate for follow-up visits, problem lists, or histories that still affect care. If the chart only says former use, check documentation.
Do not use for
Do not use this code for current chewing tobacco dependence without remission, or for simple tobacco use without dependence. Do not assign it when the record only documents a remote history and no dependence diagnosis.
Coding tip
Look for explicit wording such as “in remission” or “no longer dependent” before assigning F17.221.