2025 ICD-10-CM code T65.22
Toxic effect of tobacco cigarettes. Toxic effect of tobacco smoke.
The medical necessity for using this code is established when the patient's condition is directly caused by the toxic effects of tobacco cigarettes. This must be supported by clinical findings, diagnostic tests, and a clear documentation of the patient's exposure to tobacco smoke.
Clinicians should document the specific effects of tobacco cigarette toxicity, including whether the exposure was due to direct smoking or secondhand smoke. Documenting the associated symptoms, such as respiratory issues, and any long-term health consequences is crucial.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injury, poisoning and certain other consequences of external causes (T07-T88)Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
In simple words: Harmful effects from smoking tobacco cigarettes, including secondhand smoke.
Toxic effect of tobacco cigarettes. Toxic effect of tobacco smoke. Use additional code for exposure to second hand tobacco smoke (Z57.31, Z77.22)
Example 1: A patient presents with persistent cough, shortness of breath, and wheezing. Upon examination and history taking, it is determined that the patient is a heavy smoker and suffers from the toxic effects of tobacco cigarettes. The diagnosis is confirmed with pulmonary function tests and imaging studies., A child is brought to the emergency room with nausea, vomiting, and dizziness. The parents report that the child was playing in a closed car where an adult had been smoking heavily. The child is diagnosed with the toxic effect of secondhand tobacco smoke., A non-smoker experiences eye irritation, throat soreness, and headaches after being exposed to secondhand smoke in their workplace. They are diagnosed with the toxic effect of tobacco smoke and advised to avoid such environments.
The documentation should clearly state the relationship between the patient's symptoms and tobacco cigarette use. This includes the type of exposure (direct or secondhand), duration, and frequency of exposure, along with any related symptoms or conditions.
** Excludes1: birth trauma (P10-P15), obstetric trauma (O70-O71)Excludes2: nicotine dependence (F17.-)Contact with and (suspected) exposure to toxic substances (Z77.-)
- Specialties:Pulmonology, Internal Medicine, Family Medicine, Pediatrics, Emergency Medicine, Occupational Medicine
- Place of Service:Office, Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital, Home, Public Health Clinic, Other Place of Service