T65.21 — Toxic effect of chewing tobacco
Is T65.21 billable?
No — T65.21 is a non-billable header code. T65.21 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 12 billable codes beneath T65.21.
Billable codes under this header
- T65.211AToxic effect of chewing tobacco, accidental (unintentional), initial encounter
- T65.211DToxic effect of chewing tobacco, accidental (unintentional), subsequent encounter
- T65.211SToxic effect of chewing tobacco, accidental (unintentional), sequela
- T65.212AToxic effect of chewing tobacco, intentional self-harm, initial encounter
- T65.212DToxic effect of chewing tobacco, intentional self-harm, subsequent encounter
- T65.212SToxic effect of chewing tobacco, intentional self-harm, sequela
- T65.213AToxic effect of chewing tobacco, assault, initial encounter
- T65.213DToxic effect of chewing tobacco, assault, subsequent encounter
- T65.213SToxic effect of chewing tobacco, assault, sequela
- T65.214AToxic effect of chewing tobacco, undetermined, initial encounter
- T65.214DToxic effect of chewing tobacco, undetermined, subsequent encounter
- T65.214SToxic effect of chewing tobacco, undetermined, sequela
T65.21 at a glance
| Code | T65.21 |
|---|---|
| Description | Toxic effect of chewing tobacco |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is T65.21 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under T65.2, the nearest indexed parent of T65.21. Use them to find the family, then select the specific code.
- Poisoning › nicotine (acute)
- Poisoning › tobacco (acute)
Excludes1 — never code together — inherited from T51-T65
The conditions below can never be reported together with T65.21 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- contact with and (suspected) exposure to toxic substances (Z77.-)
Use additional code — inherited from Chapter 19
Report an additional code alongside T65.21 to fully describe the condition. T65.21 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from T51-T65
Report an additional code alongside T65.21 to fully describe the condition. T65.21 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T65.21, but a patient may have both at the same time. When documentation supports it, T65.21 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T65.2
The conditions below are not part of T65.21, but a patient may have both at the same time. When documentation supports it, T65.21 and the excluded code may both be reported.
- nicotine dependence (F17.-)
What codes fall under T65.21? (4)
How long has T65.21 existed?
T65.21 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.