MCMedicalCodingSoftware
T65.211A

T65.211A: Toxic effect of chewing tobacco, accidental (unintentional), initial encounter

Billable / specific codeICD-10-CM

T65.211A is a billable, specific ICD-10-CM code for toxic effect of chewing tobacco, accidental (unintentional), initial encounter. It is valid for submission on a claim.

Check T65.211A with the rest of the claim: free scrubber

7th character "A": initial encounter

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

A
initial encounter
D
subsequent encounter
S
sequela

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Toxic effect of chewing tobacco NOS

Excludes2 inherited from the categories above T65.211A

Not part of this code, but both may be coded when both are present.

Written on T65.2: Toxic effect of tobacco and nicotine

  • nicotine dependence (F17.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

T65.211A is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56612Billing and Coding: CT of the Head
  • A57205Billing and Coding: Oximetry Services
  • A57224Billing and Coding: Respiratory Care

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under T65.211

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.