F17.220 ICD-10-CM Code: Nicotine dependence, chewing tobacco, uncomplicated
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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)
F17.220
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceNicotine dependence, chewing tobacco, uncomplicated
A person is dependent on chewing tobacco with no complications or associated health problems.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for F17.220 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for F17.220 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for F17.220 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for F17.220 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for F17.220 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F17.220 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F17.220 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is F17.220 an HCC code?
No. F17.220 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
F17.220 is the ICD-10-CM diagnosis code for nicotine dependence, chewing tobacco, uncomplicated. A person is dependent on chewing tobacco with no complications or associated health problems. F17.220 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).
F17.220 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This code indicates nicotine dependence without any additional disorders or withdrawal symptoms.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F17.220 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code indicates nicotine dependence without any additional disorders or withdrawal symptoms
- •Use this when the patient has chewing tobacco dependence as the only diagnosis; do not use if withdrawal or other complications are present