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  6. 2024 ICD-10-CM Code T65.2
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code T65.2

Toxic effect of tobacco and nicotine

ICD-10-CM Code:
T65.2
ICD-10 Code for:
Toxic effect of tobacco and nicotine
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Toxic effects of substances chiefly nonmedicinal as to source
      (T51-T65)
      • Toxic effect of other and unspecified substances
        (T65)

T65.2 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of toxic effect of tobacco and nicotine. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Toxic effect of tobacco and nicotine

Non-specific codes like T65.2 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for toxic effect of tobacco and nicotine:

  • T65.21 for Toxic effect of chewing tobacco - NON-BILLABLE CODE

  • T65.211 for Toxic effect of chewing tobacco, accidental (unintentional) - NON-BILLABLE CODE

  • Use T65.211A for initial encounter - BILLABLE CODE

  • Use T65.211D for subsequent encounter - BILLABLE CODE

  • Use T65.211S for sequela - BILLABLE CODE

  • T65.212 for Toxic effect of chewing tobacco, intentional self-harm - NON-BILLABLE CODE

  • Use T65.212A for initial encounter - BILLABLE CODE

  • Use T65.212D for subsequent encounter - BILLABLE CODE

  • Use T65.212S for sequela - BILLABLE CODE

  • T65.213 for Toxic effect of chewing tobacco, assault - NON-BILLABLE CODE

  • Use T65.213A for initial encounter - BILLABLE CODE

  • Use T65.213D for subsequent encounter - BILLABLE CODE

  • Use T65.213S for sequela - BILLABLE CODE

  • T65.214 for Toxic effect of chewing tobacco, undetermined - NON-BILLABLE CODE

  • Use T65.214A for initial encounter - BILLABLE CODE

  • Use T65.214D for subsequent encounter - BILLABLE CODE

  • Use T65.214S for sequela - BILLABLE CODE

  • T65.22 for Toxic effect of tobacco cigarettes - NON-BILLABLE CODE

  • T65.221 for Toxic effect of tobacco cigarettes, accidental (unintentional) - NON-BILLABLE CODE

  • Use T65.221A for initial encounter - BILLABLE CODE

  • Use T65.221D for subsequent encounter - BILLABLE CODE

  • Use T65.221S for sequela - BILLABLE CODE

  • T65.222 for Toxic effect of tobacco cigarettes, intentional self-harm - NON-BILLABLE CODE

  • Use T65.222A for initial encounter - BILLABLE CODE

  • Use T65.222D for subsequent encounter - BILLABLE CODE

  • Use T65.222S for sequela - BILLABLE CODE

  • T65.223 for Toxic effect of tobacco cigarettes, assault - NON-BILLABLE CODE

  • Use T65.223A for initial encounter - BILLABLE CODE

  • Use T65.223D for subsequent encounter - BILLABLE CODE

  • Use T65.223S for sequela - BILLABLE CODE

  • T65.224 for Toxic effect of tobacco cigarettes, undetermined - NON-BILLABLE CODE

  • Use T65.224A for initial encounter - BILLABLE CODE

  • Use T65.224D for subsequent encounter - BILLABLE CODE

  • Use T65.224S for sequela - BILLABLE CODE

  • T65.29 for Toxic effect of other tobacco and nicotine - NON-BILLABLE CODE

  • T65.291 for Toxic effect of other tobacco and nicotine, accidental (unintentional) - NON-BILLABLE CODE

  • Use T65.291A for initial encounter - BILLABLE CODE

  • Use T65.291D for subsequent encounter - BILLABLE CODE

  • Use T65.291S for sequela - BILLABLE CODE

  • T65.292 for Toxic effect of other tobacco and nicotine, intentional self-harm - NON-BILLABLE CODE

  • Use T65.292A for initial encounter - BILLABLE CODE

  • Use T65.292D for subsequent encounter - BILLABLE CODE

  • Use T65.292S for sequela - BILLABLE CODE

  • T65.293 for Toxic effect of other tobacco and nicotine, assault - NON-BILLABLE CODE

  • Use T65.293A for initial encounter - BILLABLE CODE

  • Use T65.293D for subsequent encounter - BILLABLE CODE

  • Use T65.293S for sequela - BILLABLE CODE

  • T65.294 for Toxic effect of other tobacco and nicotine, undetermined - NON-BILLABLE CODE

  • Use T65.294A for initial encounter - BILLABLE CODE

  • Use T65.294D for subsequent encounter - BILLABLE CODE

  • Use T65.294S for sequela - BILLABLE CODE

Coding Guidelines

The appropriate 7th character is to be added to each code from block Toxic effect of other and unspecified substances (T65). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • nicotine dependence F17

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Patient Education


Smoking

What are the health effects of smoking?

There's no way around it; smoking is bad for your health. It harms nearly every organ of the body, some that you would not expect. Cigarette smoking causes nearly one in five deaths in the United States. It can also cause many other cancers and health problems. These include:

  • Cancers, including lung and oral cancers
  • Lung diseases, such as COPD (chronic obstructive pulmonary disease)
  • Damage to and thickening of blood vessels, which causes high blood pressure
  • Blood clots and stroke
  • Vision problems, such as cataracts and macular degeneration (AMD)

Women who smoke while pregnant have a greater chance of certain pregnancy problems. Their babies are also at higher risk of dying of sudden infant death syndrome (SIDS).

Smoking also causes addiction to nicotine, a stimulant drug that is in tobacco. Nicotine addiction makes it much harder for people to quit smoking.

What are the health risks of secondhand smoke?

Your smoke is also bad for other people - they breathe in your smoke secondhand and can get many of the same problems as smokers do. This includes heart disease and lung cancer. Children exposed to secondhand smoke have a higher risk of ear infections, colds, pneumonia, bronchitis, and more severe asthma. Mothers who breathe secondhand smoke while pregnant are more likely to have preterm labor and babies with low birth weight.

Are other forms of tobacco also dangerous?

Besides cigarettes, there are several other forms of tobacco. Some people smoke tobacco in cigars and water pipes (hookahs). These forms of tobacco also contain harmful chemicals and nicotine. Some cigars contain as much tobacco as an entire pack of cigarettes.

E-cigarettes often look like cigarettes, but they work differently. They are battery-operated smoking devices. Using an e-cigarette is called vaping. Not much is known about the health risks of using them. We do know they contain nicotine, the same addictive substance in tobacco cigarettes. E-cigarettes also expose non-smokers to secondhand aerosols (rather than secondhand smoke), which contain harmful chemicals.

Smokeless tobacco, such as chewing tobacco and snuff, is also bad for your health. Smokeless tobacco can cause certain cancers, including oral cancer. It also increases your risk of getting heart disease, gum disease, and oral lesions.

Why should I quit?

Remember, there is no safe level of tobacco use. Smoking even just one cigarette per day over a lifetime can cause smoking-related cancers and premature death. Quitting smoking can reduce your risk of health problems. The earlier you quit, the greater the benefit. Some immediate benefits of quitting include:

  • Lower heart rate and blood pressure
  • Less carbon monoxide in the blood (carbon monoxide reduces the blood's ability to carry oxygen)
  • Better circulation
  • Less coughing and wheezing

NIH National Cancer Institute


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.