2026 ICD-10-CM Diagnosis Code F17.228Nicotine dependence, chewing tobacco, with other nicotine-induced disorders

ICD-10-CM Codes›F01–F99›F10-F19›F17

ICD-10-CM F17.228
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F17.228 is a billable ICD-10-CM diagnosis code for nicotine dependence, chewing tobacco, with other nicotine-induced disorders. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 894 through 897. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Tobacco-related disorders.

Code Identity

ICD-10-CM Code
F17.228
Billable Status
Yes — Valid for Submission
Code Describes
Nicotine dependence, chewing tobacco, with other nicotine-induced disorders
Short Description
Nicotine dependence, chewing tobacco, w oth disorders
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 CodeF17.228Nicotine dependence, chewing tobacco, with other nicotine-induced disorders

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
              • specified disorder NEC

Clinical ClassificationClinical

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

CCSR MBD024
Tobacco-related disorders
Default principal diagnosis: inpatient Yes · 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 F17.228 to ICD-9-CMHistory

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

ICD-9-CM
292.89 Drug mental disorder NEC
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 F17.228Overview

Is F17.228 (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 other nicotine-induced disorders on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does F17.228 group to?

When nicotine dependence, chewing tobacco, with other nicotine-induced disorders is the principal diagnosis on an inpatient stay, it groups to MS-DRG 894, 895, 896, 897, with relative weights from 0.6169 to 1.7451 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of F17.228?

Under the General Equivalence Mappings, nicotine dependence, chewing tobacco, with other nicotine-induced disorders converts to ICD-9-CM 292.89 (drug mental disorder NEC). 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.