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ICD-10-CM 2027 diagnosis code

F17.220Nicotine dependence, chewing tobacco, uncomplicated

✓ Billable / specificNot a principal dx

F17.220 is a valid, billable ICD-10-CM code for nicotine dependence, chewing tobacco, uncomplicated. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About F17.220

F17.220 is the ICD-10-CM diagnosis code for nicotine dependence, chewing tobacco, uncomplicated. It belongs to category F17 (nicotine dependence), block F10-F19 (mental and behavioral disorders due to psychoactive substance use) and chapter 5 (mental, Behavioral and Neurodevelopmental disorders). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within F17.22 (nicotine dependence, chewing tobacco), F17.220 is specifically for nicotine dependence, chewing tobacco, uncomplicated. Related codes cover in remission (F17.221), with withdrawal (F17.223), with other nicotine-induced disorders (F17.228) and with unspecified nicotine-induced disorders (F17.229).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 305.1 (tobacco use disorder).

Notes that apply from higher levels

Instructions written at a parent level also apply to F17.220.

› From F17 Nicotine dependence
Excludes1
  • history of tobacco dependence (Z87.891)
  • tobacco use NOS (Z72.0)
Excludes2
  • tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
  • toxic effect of nicotine (T65.2-)

Broader instructions also apply from Chapter 5: Mental, Behavioral and Neurodevelopmental disorders.

Alphabetic index entries

1 entries

Terms in the official ICD-10-CM index that lead to F17.220.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →
  • 305.1Tobacco use disorderapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about F17.220

Is F17.220 billable?

Yes. F17.220 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can F17.220 be used as a principal diagnosis?

No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

Is F17.220 a CC or MCC?

No. F17.220 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does F17.220 group to?

F17.220 is used in the MS-DRG v44.0 logic for MS-DRG 951 (Other Factors Influencing Health Status). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for F17.220?

The CMS General Equivalence Mappings map F17.220 to ICD-9-CM 305.1.