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2025 ICD-10-CM code F17.220

Nicotine dependence due to chewing tobacco, uncomplicated.

Do not use this code if the patient experiences withdrawal symptoms or other nicotine-induced disorders. Use additional codes to document any other conditions.

Medical necessity for treatment is established by the diagnosis of nicotine dependence and the patient's desire to quit.

Providers diagnose the condition based on the patient’s medical history and a detailed inquiry into an individual’s personal and social behaviors. Questionnaires to assess tobacco use help determine the degree of tobacco dependence.Treatment includes nicotine replacement therapy (NRT), counseling, and non-nicotine medications like bupropion and nortriptyline.

In simple words: This code signifies an addiction to chewing tobacco without experiencing withdrawal symptoms or other related health issues.

Uncomplicated nicotine dependence, also known as tobacco dependence, refers to the inability to stop chewing tobacco, which contains nicotine, even though aware of its harmful effects, without physical and/or mental symptoms upon abrupt withdrawal of the substance.

Example 1: A 25-year-old male presents with a chief complaint of difficulty quitting chewing tobacco. He denies any withdrawal symptoms upon trying to quit. He reports using chewing tobacco multiple times daily for several years and acknowledges its harmful effects., A 40-year-old female presents for a routine check-up. She admits to using chewing tobacco regularly and expresses a desire to quit, but hasn't experienced significant withdrawal symptoms. She is diagnosed with uncomplicated nicotine dependence due to chewing tobacco., A 55-year-old male with a history of chewing tobacco use presents for a dental check-up. While he continues to use chewing tobacco, he does not report withdrawal symptoms or other complications related to nicotine dependence.

Documentation should include the type of tobacco used (chewing tobacco), the severity of nicotine dependence (mild, moderate, or severe), the absence of withdrawal symptoms or other nicotine-related disorders, and the patient's acknowledgment of harmful effects.

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