{"code":"F17.228","type":"code","title":"Nicotine dependence, chewing tobacco, with other nicotine-induced disorders","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"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-)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["F17","F17.2","F17.20","F17.200","F17.201","F17.203","F17.208","F17.209","F17.21","F17.210","F17.211","F17.213","F17.218","F17.219","F17.22","F17.220","F17.221","F17.223","F17.229","F17.29","F17.290","F17.291","F17.293","F17.298","F17.299"],"inclusionTerms":[],"sibling_titles":{"code":"F17.299","title":"Nicotine dependence, other tobacco product, with unspecified nicotine-induced disorders","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Nicotine dependence, chewing tobacco, with other nicotine-induced disorders is a billable ICD-10-CM diagnosis code (F17.228). Excludes1 (not coded here): history of tobacco dependence (Z87.891); tobacco use NOS (Z72.0). Excludes2 (not included here): tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-); toxic effect of nicotine (T65.2-).","officialDefinition":"Nicotine dependence, chewing tobacco, with other nicotine-induced disorders is a billable ICD-10-CM diagnosis code (F17.228). Excludes1 (not coded here): history of tobacco dependence (Z87.891); tobacco use NOS (Z72.0). Excludes2 (not included here): tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-); toxic effect of nicotine (T65.2-).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}