ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F17.223

Billable / Specific CC

Nicotine dependence, chewing tobacco, with withdrawal

F17
Block
0
Synonyms
176
LCDs
7
Payer Policies
0
Linked CPTs

About ICD-10-CM F17.223

ICD-10-CM code F17.223 represents Nicotine dependence, chewing tobacco, with withdrawal. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F17). The 2026 edition of ICD-10-CM F17.223 became effective on October 1, 2025.

Coding Tips for F17.223

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

F17.223 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, CC

codes Nicotine dependence, chewing tobacco, with withdrawal. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for F17.223

Local Coverage Determinations (LCDs) from CMS MACs that list F17.223 as a covered diagnosis.

176 LCDs

Showing top 10 of 176 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0156 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0299 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0152 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0155 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0300 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96131 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96130 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96132 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96133 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96137 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F17.223.

7 policies

1 Cigna

Preventive Care Services - (A004)
Policy ID: AD_A004

5 Medicare

Billing and Coding: Home Health - Psychiatric Care
Policy ID: ART-56756
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937
Billing and Coding: Outpatient Psychiatry and Psychology Services
Policy ID: ART-57065
Billing and Coding: Psychiatric Codes
Policy ID: ART-57130
Billing and Coding: Monitored Anesthesia Care
Policy ID: ART-57361

CPT Codes Commonly Billed with F17.223

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for F17.223

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert F17.223 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
F17.223 2920 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 F17.223, Billing FAQ

Is ICD-10 code F17.223 billable? +

Yes, F17.223 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is F17.223 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What ICD-9 codes does F17.223 map to? +

Per CMS GEMs, F17.223 maps to ICD-9 codes: 2920. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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