2026 ICD-10-CM Diagnosis Code F17.221Nicotine dependence, chewing tobacco, in remission

ICD-10-CM Codes›F01–F99›F10-F19›F17

ICD-10-CM F17.221
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F17.221 is a billable ICD-10-CM diagnosis code for nicotine dependence, chewing tobacco, in remission. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor. Coders also document this condition as nicotine dependence in remission. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Mental and substance use disorders in remission.

Code Identity

ICD-10-CM Code
F17.221
Billable Status
Yes — Valid for Submission
Code Describes
Nicotine dependence, chewing tobacco, in remission
Short Description
Nicotine dependence, chewing tobacco, in remission
Same as the full description in the CMS dataset.
Parent Code
F17.22
Nicotine dependence, chewing tobacco

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF10-F19Mental and behavioral disorders due to psychoactive substance use
CategoryF17Nicotine dependence
This CodeF17.221Nicotine dependence, chewing tobacco, in remission

Code EditsBilling

Medicare Code Editor checks that affect claim validity for F17.221.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Nicotine dependence in remission
  • Tobacco dependence caused by chewing tobacco
  • Tobacco dependence caused by chewing tobacco in remission
  • Tobacco dependence in remission

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Tobacco use disorder, chewing tobacco, mild, in early remission
  • Tobacco use disorder, chewing tobacco, mild, in sustained remission
  • Tobacco use disorder, chewing tobacco, moderate, in early remission
  • Tobacco use disorder, chewing tobacco, moderate, in sustained remission
  • Tobacco use disorder, chewing tobacco, severe, in early remission
  • Tobacco use disorder, chewing tobacco, severe, in sustained remission

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Dependence(on) (syndrome)
      • drug NEC
        • nicotine
          • chewing tobacco
            • with disorder
              • in remission
    • Disorder(of)
      • tobacco use
        • chewing tobacco (mild) (moderate) (severe)
          • in remission (early) (sustained)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD026
Mental and substance use disorders in remission
Default principal diagnosis: inpatient No · outpatient Yes

Patient EducationClinical

Smokeless 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:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert F17.221 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
305.1 Tobacco use disorder
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About F17.221Overview

Is F17.221 (Nicotine dependence, chewing tobacco) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report nicotine dependence, chewing tobacco, in remission on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can F17.221 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because nicotine dependence, chewing tobacco, in remission describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

What is the ICD-9 equivalent of F17.221?

Under the General Equivalence Mappings, nicotine dependence, chewing tobacco, in remission converts to ICD-9-CM 305.1 (tobacco use disorder). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.