F17.223 — Nicotine dependence, chewing tobacco, with withdrawal
F17.223 is a billable, specific ICD-10-CM code for nicotine dependence, chewing tobacco, with withdrawal. It is valid for submission on a claim.
Excludes1 inherited from the categories above F17.223
These are not written on F17.223, but they bind it: a note on a category applies to every code beneath it. Billing F17.223 with anything listed here is a denial.
Excludes2 inherited from the categories above F17.223
Also inherited, and the opposite of Excludes1: these conditions are not part of F17.223, but a patient can have both, so you may code both.
Other codes that can never be billed with F17.223
These codes carry an Excludes1 note pointing at F17.223. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F17.223 alone.
- Z77.22Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
Risk adjustment
F17.223 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
F17.223 is named in 8 Medicare coverage policies — 6 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A59718Billing and Coding: Opioid Treatment Programsnot covered
- A56756Billing and Coding: Home Health - Psychiatric Care
- A56937Billing and Coding: Psychiatry and Psychology Services
How F17.223 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F17.223.
- Dependence›drug NEC›nicotine›chewing tobacco›with disorder›withdrawal
Code history
F17.223 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share F17.22. If F17.223 is not quite right, the correct code is usually one of these.
Questions about F17.223
- Is F17.223 a billable ICD-10-CM code?
- Yes. F17.223 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F17.223 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).
- What cannot be coded together with F17.223?
- F17.223 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above F17.223 (F17) and apply to it just the same.