T65.211D — Toxic effect of chewing tobacco, accidental (unintentional), subsequent encounter
Is T65.211D billable?
Yes — T65.211D is billable for FY2027. T65.211D is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T65.211D may be submitted for encounters from October 1, 2026 through September 30, 2027.
T65.211D at a glance
| Code | T65.211D |
|---|---|
| Description | Toxic effect of chewing tobacco, accidental (unintentional), subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in T65.211D?
In T65.211D, the 7th character D means subsequent encounter. The 7th character is required for T65.211D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T65.211D group to?
T65.211D sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
How is T65.211D listed in the Alphabetic Index?
The Alphabetic Index lists these routes under T65.2, the nearest indexed parent of T65.211D. Use them to find the family, then select the specific code.
- Poisoning › nicotine (acute)
- Poisoning › tobacco (acute)
Inclusion terms
Alternative wording in documentation that is classified to T65.211D.
- Toxic effect of chewing tobacco NOS
Excludes1 — never code together — inherited from T51-T65
The conditions below can never be reported together with T65.211D 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 T65.211D to fully describe the condition. T65.211D 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 T65.211D to fully describe the condition. T65.211D is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T65.211D, but a patient may have both at the same time. When documentation supports it, T65.211D and the excluded code may both be reported.
Excludes2 — not included here — inherited from T65.2
The conditions below are not part of T65.211D, but a patient may have both at the same time. When documentation supports it, T65.211D and the excluded code may both be reported.
- nicotine dependence (F17.-)
How long has T65.211D existed?
T65.211D 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.