ICDcodes.org
FY2027

T65.293DToxic effect of other tobacco and nicotine, assault, subsequent encounter

Billable

Is T65.293D billable?

Yes — T65.293D is billable for FY2027. T65.293D is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T65.293D may be submitted for encounters from October 1, 2026 through September 30, 2027.

T65.293D at a glance

CodeT65.293D
DescriptionToxic effect of other tobacco and nicotine, assault, subsequent encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "D"subsequent encounter

What does the 7th character "D" mean in T65.293D?

In T65.293D, the 7th character D means subsequent encounter. The 7th character is required for T65.293D to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does T65.293D group to?

T65.293D 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 T65.293D listed in the Alphabetic Index?

The Alphabetic Index lists these routes under T65.2, the nearest indexed parent of T65.293D. Use them to find the family, then select the specific code.

  • Poisoningnicotine (acute)
  • Poisoningtobacco (acute)

Excludes1 — never code together — inherited from T51-T65

The conditions below can never be reported together with T65.293D 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 T65.293D to fully describe the condition. T65.293D 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 T65.293D to fully describe the condition. T65.293D is sequenced first.

  • 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.-)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of T65.293D, but a patient may have both at the same time. When documentation supports it, T65.293D and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from T65.2

The conditions below are not part of T65.293D, but a patient may have both at the same time. When documentation supports it, T65.293D and the excluded code may both be reported.

  • nicotine dependence (F17.-)

How long has T65.293D existed?

T65.293D 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.