MCMedicalCodingSoftware
F17.228

F17.228: Nicotine dependence, chewing tobacco, with other nicotine-induced disorders

Billable / specific codeICD-10-CM

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.

Check F17.228 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above F17.228

A category’s note binds every code beneath it.

Written on F17: Nicotine dependence

  • history of tobacco dependence (Z87.891)
  • tobacco use NOS (Z72.0)

Excludes2 inherited from the categories above F17.228

Not part of this code, but both may be coded when both are present.

Written on F17: Nicotine dependence

  • tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
  • toxic effect of nicotine (T65.2-)

Other codes that can never be billed with F17.228

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • Z77.22Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)

Risk adjustment

No CMS-HCC V28 category: this code does not change 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 one applies depends on your Medicare contractor.

  • 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

Alphabetic index entries that lead here

  • Dependence›drug NEC›nicotine›chewing tobacco›with disorder›specified disorder NEC

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under F17.22

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.