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T65.291D

T65.291D: Toxic effect of other tobacco and nicotine, accidental (unintentional), subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

T65.291D is a billable, specific ICD-10-CM code for toxic effect of other tobacco and nicotine, accidental (unintentional), subsequent encounter. It is valid for submission on a claim.

Check T65.291D with the rest of the claim: free scrubber

7th character "D": subsequent 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 other tobacco and nicotine NOS

Excludes2 inherited from the categories above T65.291D

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

T65.291D is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under T65.291

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.