2025 ICD-10-CM code T65.2
(Active) Effective Date: N/A Revision Date: N/A Poisoning - Toxic effects of substances chiefly nonmedicinal as to source (T51-T65) Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Toxic effect of tobacco and nicotine.Excludes nicotine dependence.
Medical necessity is established by the presence of clinical signs and symptoms consistent with nicotine or tobacco toxicity.This could range from mild respiratory irritation to severe cardiovascular complications, requiring immediate medical attention.
The clinical responsibility for this code would fall on a physician specializing in toxicology or pulmonology, depending on the presenting symptoms and the severity of the toxicity.The physician would assess the patient's condition, manage any acute symptoms, and provide appropriate treatment and counseling regarding tobacco cessation.In severe cases, hospitalization and intensive care may be required.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injury, poisoning and certain other consequences of external causes > Toxic effects of substances chiefly nonmedicinal as to source
In simple words: This code describes the harmful effects caused by tobacco and nicotine. It doesn't include nicotine addiction, which is listed under a different code.
This code classifies the toxic effects resulting from exposure to tobacco and nicotine.It encompasses a range of adverse health consequences stemming from tobacco and nicotine use, excluding nicotine dependence, which is classified separately.
Example 1: A 55-year-old male presents to the emergency department with shortness of breath, chest pain, and nausea following a period of heavy smoking.His diagnosis is toxic effect of tobacco and nicotine., A 30-year-old female complains of persistent cough, wheezing, and increased sputum production. She is a long-term smoker, and after thorough assessment, her diagnosis includes toxic effect of tobacco and nicotine., A 70-year-old male with a history of chronic obstructive pulmonary disease (COPD) experiences an exacerbation of his symptoms. His symptoms worsened after increasing his cigarette consumption. Toxic effect of tobacco and nicotine is coded alongside his COPD.
Detailed smoking history, including pack-years and duration of smoking.Thorough physical examination focusing on respiratory and cardiovascular systems. Laboratory tests that could include blood gas analysis, cardiac enzymes, and evaluation of pulmonary function.
** This code should not be used if the primary diagnosis is nicotine dependence.Consider additional codes for any co-morbidities or complications arising from tobacco use.
- Payment Status: Active
- Specialties:Pulmonology, Cardiology, Toxicology
- Place of Service:Office, Emergency Room - Hospital, Inpatient Hospital