MCMedicalCodingSoftware
T65.212A

T65.212A: Toxic effect of chewing tobacco, intentional self-harm, initial encounter

Billable / specific codeICD-10-CM

T65.212A is a billable, specific ICD-10-CM code for toxic effect of chewing tobacco, intentional self-harm, initial encounter. It is valid for submission on a claim.

Check T65.212A 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

Excludes2 inherited from the categories above T65.212A

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

T65.212A risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:

  • HCC 155 Major Depression, Moderate or Severe, without Psychosis0.299 RAF
  • HCC 155 Major Depression, Moderate or Severe, without Psychosis0.299 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

T65.212A 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 T65.212

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.