What is ICD-10 code F17.228?

F17.228 is the ICD-10-CM diagnosis code for Nicotine dependence, chewing tobacco, with other nicotine-induced disorders. A person is dependent on chewing tobacco and has nicotine-related health problems other than withdrawal, such as sleep disturbances or mood changes. F17.228 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. F17.228 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. F17.228 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F17.228 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Which HCC does F17.228 map to under V28?

F17.228 has no payable CMS-HCC V28 mapping in the final FY2026 CMS file.

What RAF reference is published for F17.228?

F17.228 has no V28 reference coefficient because the final FY2026 source verifies no payable V28 mapping.

What is the V28 vs V24 difference for F17.228?

F17.228 has verified no payable V28 mapping in the final FY2026 source. Select a historical effective period before making any V24 comparison.

2026 ICD-10-CM F17.228: Nicotine dependence, chewing

F17.228 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

ICD-10-CM Code View

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Code lookupF17.228

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F17.228

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Nicotine dependence, chewing tobacco, with other nicotine-induced disorders

A person is dependent on chewing tobacco and has nicotine-related health problems other than withdrawal, such as sleep disturbances or mood changes.

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

N/A

—

Not risk-adjusted for this model/period.

Not mapped

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

N/A

—

Not risk-adjusted for this model/period.

Not mapped

ESRD/PACE

N/A

—

Not risk-adjusted for this model/period.

Not mapped

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

F17.2Nicotine dependence F17.22Nicotine dependence, chewing tobacco F17.228Nicotine dependence, chewing tobacco, with other nicotine-induced disorders

Inclusion Terms

Official

No inclusion terms are included in this display for F17.228. Check the code and parent instructions in the Code Book.

Excludes 2

Official

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99, F17
tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)Inherited from F01-F99, F17
toxic effect of nicotine (T65.2-)Inherited from F01-F99, F17

Related Codes

Official

F17.220Nicotine dependence, chewing tobacco, uncomplicated F17.221Nicotine dependence, chewing tobacco, in remission F17.223Nicotine dependence, chewing tobacco, with withdrawal F17.229Nicotine dependence, chewing tobacco, with unspecified nicotine-induced disorders

Includes

Official

disorders of psychological developmentInherited from F01-F99

Excludes 1

Official

history of tobacco dependence (Z87.891)Inherited from F17
tobacco use NOS (Z72.0)Inherited from F17

Code First

Official

No Code First sequencing instructions are included in this display for F17.228. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F17.228. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F17.228. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

Document the specific nicotine-induced disorder (e.g., anxiety disorder, sleep disorder) if possible for better clinical clarity

This code captures complications beyond simple withdrawal; ensure the disorder is related to nicotine use

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F17.228 an HCC code?

No. F17.228 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code: F17.228
Description: Nicotine dependence, chewing tobacco, with other nicotine-induced disorders
HCC (V28): No CMS-HCC V28 mapping
RAF reference coefficient: —
Billable: Yes
Payment year: 2026

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

F17.228 is the ICD-10-CM diagnosis code for nicotine dependence, chewing tobacco, with other nicotine-induced disorders. A person is dependent on chewing tobacco and has nicotine-related health problems other than withdrawal, such as sleep disturbances or mood changes. F17.228 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).

F17.228 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Document the specific nicotine-induced disorder (e.g., anxiety disorder, sleep disorder) if possible for better clinical clarity.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F17.228 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Document the specific nicotine-induced disorder (e.g., anxiety disorder, sleep disorder) if possible for better clinical clarity
•This code captures complications beyond simple withdrawal; ensure the disorder is related to nicotine use