2020 ICD-10-CM Diagnosis Code T65.22

Toxic effect of tobacco cigarettes

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • T65.22 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM T65.22 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of T65.22 - other international versions of ICD-10 T65.22 may differ.
Applicable To
  • Toxic effect of tobacco smoke
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for exposure to second hand tobacco smoke (
    ICD-10-CM Diagnosis Code Z57.31

    Occupational exposure to environmental tobacco smoke

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Type 2 Excludes
    • exposure to environmental tobacco smoke (Z77.22)
    Z57.31
    ,
    ICD-10-CM Diagnosis Code Z77.22

    Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Exposure to second hand tobacco smoke (acute) (chronic)
    • Passive smoking (acute) (chronic)
    Type 1 Excludes
    Type 2 Excludes
    • occupational exposure to environmental tobacco smoke (Z57.31)
    Z77.22
    )
The following code(s) above T65.22 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 T65.22:
  • S00-T88
    2020 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
    2020 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
  • T65.2
    ICD-10-CM Diagnosis Code T65.2

    Toxic effect of tobacco and nicotine

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • nicotine dependence (F17.-)
    Toxic effect of tobacco and nicotine
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
Code annotations containing back-references to T65.22:
  • Type 2 Excludes: T59.81
    ICD-10-CM Diagnosis Code T59.81

    Toxic effect of smoke

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Smoke inhalation
    Type 2 Excludes
    • toxic effect of cigarette (tobacco) smoke (T65.22-)
ICD-10-CM Codes Adjacent To T65.22
T65.212D …… subsequent encounter
T65.212S …… sequela
T65.213 Toxic effect of chewing tobacco, assault
T65.213A …… initial encounter
T65.213D …… subsequent encounter
T65.213S …… sequela
T65.214 Toxic effect of chewing tobacco, undetermined
T65.214A …… initial encounter
T65.214D …… subsequent encounter
T65.214S …… sequela
T65.22 Toxic effect of tobacco cigarettes
T65.221 Toxic effect of tobacco cigarettes, accidental (unintentional)
T65.221A …… initial encounter
T65.221D …… subsequent encounter
T65.221S …… sequela
T65.222 Toxic effect of tobacco cigarettes, intentional self-harm
T65.222A …… initial encounter
T65.222D …… subsequent encounter
T65.222S …… sequela
T65.223 Toxic effect of tobacco cigarettes, assault
T65.223A …… initial encounter

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