ICD-10 Code F17.228

Nicotine dependence, chewing tobacco, with other nicotine-induced disorders

Version 2019 Billable Code
ICD-10:F17.228
Short Description:Nicotine dependence, chewing tobacco, w oth disorders
Long Description:Nicotine dependence, chewing tobacco, with other nicotine-induced disorders

Valid for Submission

ICD-10 F17.228 is a billable code used to specify a medical diagnosis of nicotine dependence, chewing tobacco, with other nicotine-induced disorders. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

Code Classification

  • Mental and behavioural disorders (F00–F99)
    • Mental and behavioral disorders due to psychoactive substance use (F10-F19)
      • Nicotine dependence (F17)

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code F17.228 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 894 - ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA
  • 895 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
  • 896 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
  • 897 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC

Convert F17.228 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 292.89 - Drug mental disorder NEC (Approximate Flag)

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code F17.228 are found in the index:


Information for Patients


Smokeless Tobacco

Also called: Chewing tobacco, Dip, Oral tobacco, Snuff, Spit tobacco

Many people who chew tobacco or dip snuff think it's safer than smoking. But you don't have to smoke tobacco for it to be dangerous. Chewing or dipping carries risks like

  • Cancer of the mouth
  • Decay of exposed tooth roots
  • Pulling away of the gums from the teeth
  • White patches or red sores in the mouth that can turn to cancer

Recent research shows the dangers of smokeless tobacco may go beyond the mouth. It might also play a role in other cancers, heart disease and stroke.

Smokeless tobacco contains more nicotine than cigarettes. Nicotine is a highly addictive drug that makes it hard to stop using tobacco once you start. Having a quit date and a quitting plan can help you stop successfully.

NIH: National Institute of Dental and Craniofacial Research


[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.