Nicotine dependence, chewing tobacco, in remission

This diagnosis code signifies a past history of nicotine dependence specifically from chewing tobacco, where the patient is no longer actively using the substance and has not used it for a sustained period. It indicates that the individual has successfully overcome their addiction to chewing tobacco.

Apply this code when documentation clearly states a history of chewing tobacco dependence and the patient is currently abstinent, indicating a period of remission. This is appropriate for follow-up visits where the patient's past addiction is relevant to their current health status or treatment plan, but they are no longer actively dependent.

• Ensure documentation explicitly states "in remission" or similar language indicating sustained abstinence from chewing tobacco.
• Do not use this code if the patient is still actively using chewing tobacco or is in withdrawal; instead, use codes for active dependence.
• Distinguish from nicotine dependence due to other tobacco products (e.g., cigarettes, cigars) as specific codes exist for each.