Skip to content
Dx

ICD-10-CM 2027 diagnosis code

T65.2Toxic effect of tobacco and nicotine

Not billable — use a more specific codeRequires 7th character

T65.2 is a header code, so it can't be reported by itself. Choose one of the 3 more specific codes beneath it and add the required 7th character.

Looking up by condition? See ICD-10 code for Nicotine tobacco poisoning, ICD-10 code for Tobacco nicotine poisoning.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About T65.2

T65.2 is the ICD-10-CM diagnosis code for toxic effect of tobacco and nicotine. It belongs to category T65 (toxic effect of other and unspecified substances), block T51-T65 (toxic effects of substances chiefly nonmedicinal as to source) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is a header code, so it can't be reported by itself; one of its 3 subcodes must be used instead.

Within T65 (toxic effect of other and unspecified substances), T65.2 is specifically for toxic effect of tobacco and nicotine. Related codes cover cyanides (T65.0), strychnine and its salts (T65.1), nitroderivatives and aminoderivatives of benzene and its homologues (T65.3), carbon disulfide (T65.4), nitroglycerin and other nitric acids and esters (T65.5), paints and dyes, not elsewhere classified (T65.6), other specified substances (T65.8) and unspecified substance (T65.9).

Codes in this range require a 7th character: A for initial encounter, D for subsequent encounter and S for sequela. Use placeholder "X" characters to fill any empty positions before the 7th character.

The conditions in its Excludes2 note aren't part of T65.2, but may be coded alongside it if the patient has both: nicotine dependence (F17.-).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

7th character

The appropriate 7th character is to be added to each code from category T65

  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela

Coding notes

Excludes2Not included here — may be reported together if both conditions exist
  • nicotine dependence (F17.-)

Notes that apply from higher levels

Instructions written at a parent level also apply to T65.2.

Broader instructions also apply from T51-T65 Toxic effects of substances chiefly nonmedicinal as to source and Chapter 19: Injury, poisoning and certain other consequences of external causes.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to T65.2.

Codes whose notes reference T65.2

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about T65.2

Is T65.2 billable?

No. T65.2 is a header code. Report one of its more specific subcodes instead.