ICD-10-CM Code T65.2

Toxic effect of tobacco and nicotine

Version 2020 Non-Billable Code

Not Valid for Submission

T65.2 is a "header" nonspecific and non-billable 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 valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:T65.2
Short Description:Toxic effect of tobacco and nicotine
Long Description:Toxic effect of tobacco and nicotine

Consider the following ICD-10 codes with a higher level of specificity:

  • T65.21 - Toxic effect of chewing tobacco
  • T65.211 - Toxic effect of chewing tobacco, accidental (unintentional)
  • T65.211A - Toxic effect of chewing tobacco, accidental (unintentional), initial encounter
  • T65.211D - Toxic effect of chewing tobacco, accidental (unintentional), subsequent encounter
  • T65.211S - Toxic effect of chewing tobacco, accidental (unintentional), sequela
  • T65.212 - Toxic effect of chewing tobacco, intentional self-harm
  • T65.212A - Toxic effect of chewing tobacco, intentional self-harm, initial encounter
  • T65.212D - Toxic effect of chewing tobacco, intentional self-harm, subsequent encounter
  • T65.212S - Toxic effect of chewing tobacco, intentional self-harm, sequela
  • T65.213 - Toxic effect of chewing tobacco, assault
  • T65.213A - Toxic effect of chewing tobacco, assault, initial encounter
  • T65.213D - Toxic effect of chewing tobacco, assault, subsequent encounter
  • T65.213S - Toxic effect of chewing tobacco, assault, sequela
  • T65.214 - Toxic effect of chewing tobacco, undetermined
  • T65.214A - Toxic effect of chewing tobacco, undetermined, initial encounter
  • T65.214D - Toxic effect of chewing tobacco, undetermined, subsequent encounter
  • T65.214S - Toxic effect of chewing tobacco, undetermined, sequela
  • T65.22 - Toxic effect of tobacco cigarettes
  • T65.221 - Toxic effect of tobacco cigarettes, accidental (unintentional)
  • T65.221A - Toxic effect of tobacco cigarettes, accidental (unintentional), initial encounter
  • T65.221D - Toxic effect of tobacco cigarettes, accidental (unintentional), subsequent encounter
  • T65.221S - Toxic effect of tobacco cigarettes, accidental (unintentional), sequela
  • T65.222 - Toxic effect of tobacco cigarettes, intentional self-harm
  • T65.222A - Toxic effect of tobacco cigarettes, intentional self-harm, initial encounter
  • T65.222D - Toxic effect of tobacco cigarettes, intentional self-harm, subsequent encounter
  • T65.222S - Toxic effect of tobacco cigarettes, intentional self-harm, sequela
  • T65.223 - Toxic effect of tobacco cigarettes, assault
  • T65.223A - Toxic effect of tobacco cigarettes, assault, initial encounter
  • T65.223D - Toxic effect of tobacco cigarettes, assault, subsequent encounter
  • T65.223S - Toxic effect of tobacco cigarettes, assault, sequela
  • T65.224 - Toxic effect of tobacco cigarettes, undetermined
  • T65.224A - Toxic effect of tobacco cigarettes, undetermined, initial encounter
  • T65.224D - Toxic effect of tobacco cigarettes, undetermined, subsequent encounter
  • T65.224S - Toxic effect of tobacco cigarettes, undetermined, sequela
  • T65.29 - Toxic effect of other tobacco and nicotine
  • T65.291 - Toxic effect of other tobacco and nicotine, accidental (unintentional)
  • T65.291A - Toxic effect of other tobacco and nicotine, accidental (unintentional), initial encounter
  • T65.291D - Toxic effect of other tobacco and nicotine, accidental (unintentional), subsequent encounter
  • T65.291S - Toxic effect of other tobacco and nicotine, accidental (unintentional), sequela
  • T65.292 - Toxic effect of other tobacco and nicotine, intentional self-harm
  • T65.292A - Toxic effect of other tobacco and nicotine, intentional self-harm, initial encounter
  • T65.292D - Toxic effect of other tobacco and nicotine, intentional self-harm, subsequent encounter
  • T65.292S - Toxic effect of other tobacco and nicotine, intentional self-harm, sequela
  • T65.293 - Toxic effect of other tobacco and nicotine, assault
  • T65.293A - Toxic effect of other tobacco and nicotine, assault, initial encounter
  • T65.293D - Toxic effect of other tobacco and nicotine, assault, subsequent encounter
  • T65.293S - Toxic effect of other tobacco and nicotine, assault, sequela
  • T65.294 - Toxic effect of other tobacco and nicotine, undetermined
  • T65.294A - Toxic effect of other tobacco and nicotine, undetermined, initial encounter
  • T65.294D - Toxic effect of other tobacco and nicotine, undetermined, subsequent encounter
  • T65.294S - Toxic effect of other tobacco and nicotine, undetermined, sequela

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code T65.2:

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

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code T65.2 are found in the index:


Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
      • Toxic effect of other and unspecified substances (T65)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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


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