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T65.22

T65.22: Toxic effect of tobacco cigarettes

Non-billable headerICD-10-CM

T65.22 is a non-billable header ICD-10-CM code for toxic effect of tobacco cigarettes. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

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

A
initial encounter
D
subsequent encounter
S
sequela

Use additional code

Add a secondary code to capture the detail described below.

  • code for exposure to second hand tobacco smoke (Z57.31, Z77.22)

Inclusion terms

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

  • Toxic effect of tobacco smoke

Excludes2 inherited from the categories above T65.22

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.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead T65.22

4 child codes. Green means billable.

Other codes under T65.2

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.