2021 ICD-10-CM Diagnosis Code T65.2

Toxic effect of tobacco and nicotine

    2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
  • T65.2 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2021 edition of ICD-10-CM T65.2 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of T65.2 - other international versions of ICD-10 T65.2 may differ.
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (T65.2) and the excluded code together.
  • nicotine dependence (
    ICD-10-CM Diagnosis Code F17
    • F17 Nicotine dependence
      • F17.2 Nicotine dependence
        • F17.20 Nicotine dependence, unspecified
          • F17.200 Nicotine dependence, unspecified, uncomplicat...
          • F17.201 Nicotine dependence, unspecified, in remissio...
          • F17.203 Nicotine dependence unspecified, with withdra...
          • F17.208 Nicotine dependence, unspecified, with other ...
          • F17.209 Nicotine dependence, unspecified, with unspec...
        • F17.21 Nicotine dependence, cigarettes
          • F17.210 Nicotine dependence, cigarettes, uncomplicate...
          • F17.211 Nicotine dependence, cigarettes, in remission...
          • F17.213 Nicotine dependence, cigarettes, with withdra...
          • F17.218 Nicotine dependence, cigarettes, with other n...
          • F17.219 Nicotine dependence, cigarettes, with unspeci...
        • F17.22 Nicotine dependence, chewing tobacco
          • F17.220 Nicotine dependence, chewing tobacco, uncompl...
          • F17.221 Nicotine dependence, chewing tobacco, in remi...
          • F17.223 Nicotine dependence, chewing tobacco, with wi...
          • F17.228 Nicotine dependence, chewing tobacco, with ot...
          • F17.229 Nicotine dependence, chewing tobacco, with un...
        • F17.29 Nicotine dependence, other tobacco product
          • F17.290 Nicotine dependence, other tobacco product, u...
          • F17.291 Nicotine dependence, other tobacco product, i...
          • F17.293 Nicotine dependence, other tobacco product, w...
          • F17.298 Nicotine dependence, other tobacco product, w...
          • F17.299 Nicotine dependence, other tobacco product, w...
    F17.-
    )
The following code(s) above T65.2 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to T65.2:
  • S00-T88
    2021 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • T51-T65
    2021 ICD-10-CM Range T51-T65

    Toxic effects of substances chiefly nonmedicinal as to source

    Note
    • When no intent is indicated code to accidental. Undetermined intent is only for use when there is specific documentation in the record that the intent of the toxic effect cannot be determined.
    Type 1 Excludes
    • contact with and (suspected) exposure to toxic substances (Z77.-)
    Use Additional
    • code(s):
    • for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
    • personal history of foreign body fully removed (Z87.821)
    • to identify any retained foreign body, if applicable (Z18.-)
    Toxic effects of substances chiefly nonmedicinal as to source
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to T65.2:
  • Type 2 Excludes: F17
    ICD-10-CM Diagnosis Code F17

    Nicotine dependence

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • history of tobacco dependence (Z87.891)
    • tobacco use NOS (Z72.0)
    Type 2 Excludes
    • tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
    • toxic effect of nicotine (T65.2-)

Diagnosis Index entries containing back-references to T65.2:
  • Poisoning (acute) - see also Table of Drugs and Chemicals
    • nicotine T65.2- (tobacco)
    • tobacco T65.2- (nicotine)

ICD-10-CM Codes Adjacent To T65.2
T65.1X2D …… subsequent encounter
T65.1X2S …… sequela
T65.1X3 Toxic effect of strychnine and its salts, assault
T65.1X3A …… initial encounter
T65.1X3D …… subsequent encounter
T65.1X3S …… sequela
T65.1X4 Toxic effect of strychnine and its salts, undetermined
T65.1X4A …… initial encounter
T65.1X4D …… subsequent encounter
T65.1X4S …… sequela
T65.2 Toxic effect of tobacco and nicotine
T65.21 Toxic effect of chewing tobacco
T65.211 Toxic effect of chewing tobacco, accidental (unintentional)
T65.211A …… initial encounter
T65.211D …… subsequent encounter
T65.211S …… sequela
T65.212 Toxic effect of chewing tobacco, intentional self-harm
T65.212A …… initial encounter
T65.212D …… subsequent encounter
T65.212S …… sequela
T65.213 Toxic effect of chewing tobacco, assault

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.