F17.221 ICD-10-CM Code: Nicotine dependence, chewing tobacco, in remission
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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)
F17.221
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceNicotine dependence, chewing tobacco, in remission
A person was dependent on chewing tobacco but is now in recovery and has stopped using it.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Tobacco use disorder, chewing tobacco, mild, in early remission
- Tobacco use disorder, chewing tobacco, mild, in sustained remission
- Tobacco use disorder, chewing tobacco, moderate, in early remission
- Tobacco use disorder, chewing tobacco, moderate, in sustained remission
- Tobacco use disorder, chewing tobacco, severe, in early remission
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for F17.221 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for F17.221 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for F17.221 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for F17.221 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F17.221 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F17.221 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 F17.221 an HCC code?
No. F17.221 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
F17.221 is the ICD-10-CM diagnosis code for nicotine dependence, chewing tobacco, in remission. A person was dependent on chewing tobacco but is now in recovery and has stopped using it. F17.221 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).
F17.221 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.
The 'in remission' status indicates the patient has successfully quit or significantly reduced chewing tobacco use.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F17.221 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •The 'in remission' status indicates the patient has successfully quit or significantly reduced chewing tobacco use
- •Document the length of remission if available, as this may affect treatment planning and follow-up care