---
title: "ICD-10-CM F17.223: Nicotine dependence, chewing tobacco… | BillingBrief"
description: "F17.223 is for chewing tobacco nicotine dependence with withdrawal documented. If the tobacco product isn't named, use F17.203; without withdrawal or…"
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# F17.223 Nicotine dependence, chewing tobacco, with withdrawal

ICD-10-CM · [CMS code reference](#source)

F17.223 is for chewing tobacco nicotine dependence with withdrawal documented. If the tobacco product isn't named, use F17.203; without withdrawal or another complication, use F17.220.

## Coding notes

From the ICD-10-CM FY2027 (effective October 1, 2026) tabular list. Notes on a parent code or category apply here too.

### Excludes1

Not coded together with this code. The exception is when the two conditions are unrelated to each other.

-   history of tobacco dependence ([Z87.891](https://billingbrief.com/icd10/z87.891/))
-   tobacco use NOS ([Z72.0](https://billingbrief.com/icd10/z72.0/))

### Excludes2

Not part of this code, but both can be coded when both are documented.

-   tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
-   toxic effect of nicotine (T65.2-)

## Related codes

-   [`F17.218` Nicotine dependence, cigarettes, with other nicotine-induced disorders ICD-10-CM](https://billingbrief.com/icd10/f17.218/)
-   [`F17.219` Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders ICD-10-CM](https://billingbrief.com/icd10/f17.219/)
-   [`F17.220` Nicotine dependence, chewing tobacco, uncomplicated ICD-10-CM](https://billingbrief.com/icd10/f17.220/)
-   [`F17.221` Nicotine dependence, chewing tobacco, in remission ICD-10-CM](https://billingbrief.com/icd10/f17.221/)
-   [`F17.228` Nicotine dependence, chewing tobacco, with other nicotine-induced disorders ICD-10-CM](https://billingbrief.com/icd10/f17.228/)
-   [`F17.229` Nicotine dependence, chewing tobacco, with unspecified nicotine-induced disorders ICD-10-CM](https://billingbrief.com/icd10/f17.229/)
-   [`F17.290` Nicotine dependence, other tobacco product, uncomplicated ICD-10-CM](https://billingbrief.com/icd10/f17.290/)
-   [`F17.291` Nicotine dependence, other tobacco product, in remission ICD-10-CM](https://billingbrief.com/icd10/f17.291/)

## Common questions

### Is F17.223 a billable code?

Yes. F17.223 is a billable ICD-10-CM code in the ICD-10-CM FY2027 (effective October 1, 2026) code set.

## From the source

Official description from [CMS](https://www.cms.gov/medicare/coding-billing/icd-10-codes).
ICD-10-CM FY2027 (effective October 1, 2026).

Code set

ICD-10-CM

Category

F17 Nicotine dependence

Chapter

Mental, behavioral and neurodevelopmental disorders

Billable

Yes

Educational reference only. Not medical, legal, or billing advice. Always check the current official code set and payer policy before you bill. [About BillingBrief and our sources](https://billingbrief.com/about/).