F17.228 — Nicotine dependence, chewing tobacco, with other nicotine-induced disorders
F17.228 is a billable, specific ICD-10-CM code for nicotine dependence, chewing tobacco, with other nicotine-induced disorders. It is valid for submission on a claim.
Risk adjustment
F17.228 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
F17.228 is named in 14 Medicare coverage policies — 12 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
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56756Billing and Coding: Home Health - Psychiatric Care
How F17.228 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 F17.228.
- Dependence›drug NEC›nicotine›chewing tobacco›with disorder›specified disorder NEC
Related codes at this level
Codes that share F17.22. If F17.228 is not quite right, the correct code is usually one of these.
Questions about F17.228
- Is F17.228 a billable ICD-10-CM code?
- Yes. F17.228 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F17.228 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).