2027 ICD-10-CM Diagnosis Code F17.223Nicotine dependence, chewing tobacco, with withdrawal

ICD-10-CM Codes›F01–F99›F10-F19›F17

ICD-10-CM F17.223
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F17.223 is a billable ICD-10-CM diagnosis code for nicotine dependence, chewing tobacco, with withdrawal. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 791, 793, 894 through 897. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 463 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Tobacco-related disorders.

Code Identity

ICD-10-CM Code
F17.223
Billable Status
Yes — Valid for Submission
Code Describes
Nicotine dependence, chewing tobacco, with withdrawal
Short Description
Nicotine dependence, chewing tobacco, with withdrawal
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 CodeF17.223Nicotine dependence, chewing tobacco, with withdrawal

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F17.223: its own notes plus those printed at F17 and Chapter 5. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From F17 Nicotine dependence applies to 20 codes
  • history of tobacco dependence (Z87.891)
  • tobacco use NOS (Z72.0)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From F17 Nicotine dependence applies to 20 codes
  • tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
  • toxic effect of nicotine (T65.2-)
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F17.223, its category, or a range that includes it.

Applicable To 1

These notes mention F17.223.

  • Z81.2 Family history of tobacco abuse and dependence
    Conditions classifiable to F17.- names F17.-, which includes this code

Excludes1 4

These codes carry an Excludes1 note naming F17.223: they are not reported together with it, unless the two conditions are unrelated.

  • Z72.0 Tobacco use
    nicotine dependence (F17.2-) names F17.2-, which includes this code
  • Z72.0 Tobacco use
    tobacco dependence (F17.2-) names F17.2-, which includes this code
  • Z77.22 Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
    nicotine dependence (F17.-) names F17.-, which includes this code
  • Z87.891 Personal history of nicotine dependence
    current nicotine dependence (F17.2-) names F17.2-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming F17.223: its condition is not part of those codes, and both may be reported when the patient has both.

  • T65.2 Toxic effect of tobacco and nicotine
    nicotine dependence (F17.-) names F17.-, which includes this code

Use Additional Code 49

These codes say to use an additional code from the note, and F17.223 is one of the codes named.

  • C00 Malignant neoplasm of lip
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C01 Malignant neoplasm of base of tongue
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C02 Malignant neoplasm of other and unspecified parts of tongue
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C03 Malignant neoplasm of gum
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C04 Malignant neoplasm of floor of mouth
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C05 Malignant neoplasm of palate
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C06 Malignant neoplasm of other and unspecified parts of mouth
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C07 Malignant neoplasm of parotid gland
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C08 Malignant neoplasm of other and unspecified major salivary glands
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C09 Malignant neoplasm of tonsil
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C10 Malignant neoplasm of oropharynx
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C11 Malignant neoplasm of nasopharynx
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C12 Malignant neoplasm of pyriform sinus
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C13 Malignant neoplasm of hypopharynx
    tobacco dependence (F17.-) names F17.-, which includes this code
  • C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx
    tobacco dependence (F17.-) names F17.-, which includes this code

34 more Use Additional Code notes name this code. Browse all Use Additional Code notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

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

CCSR MBD024
Tobacco-related disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Nicotine Dependence

    physical and psychological dependence on nicotine.

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 F17.223 to ICD-9-CMHistory

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

ICD-9-CM
292.0 Drug withdrawal
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F17.223Overview

What is the ICD-10 code for nicotine dependence, chewing tobacco, with withdrawal?

The ICD-10-CM code for nicotine dependence, chewing tobacco, with withdrawal is F17.223 (sometimes written as F17223). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is F17.223 (Nicotine dependence, chewing tobacco) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report nicotine dependence, chewing tobacco, with withdrawal on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does F17.223 group to?

When nicotine dependence, chewing tobacco, with withdrawal is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 894, 897, 895, 896, with relative weights from 0.6272 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.

Is F17.223 a CC or MCC?

CMS lists F17.223 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 463 closely related codes in its exclusion list.

Can F17.223 be reported with Z87.891?

Not as a rule. The Excludes1 note at F17, which applies to F17.223, lists "history of tobacco dependence (Z87.891)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).