2020 ICD-10-CM Diagnosis Code T40.1X2S

Poisoning by heroin, intentional self-harm, sequela

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • T40.1X2S is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM T40.1X2S became effective on October 1, 2019.
  • This is the American ICD-10-CM version of T40.1X2S - other international versions of ICD-10 T40.1X2S may differ.
The following code(s) above T40.1X2S contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to T40.1X2S:
  • S00-T88
    2020 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • T36-T50
    2020 ICD-10-CM Range T36-T50

    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

    Code First
    • , for adverse effects, the nature of the adverse effect, such as:
    • adverse effect NOS (T88.7)
    • aspirin gastritis (K29.-)
    • blood disorders (D56-D76)
    • contact dermatitis (L23-L25)
    • dermatitis due to substances taken internally (L27.-)
    • nephropathy (N14.0-N14.2)
    Includes
    • adverse effect of correct substance properly administered
    • poisoning by overdose of substance
    • poisoning by wrong substance given or taken in error
    • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
    Note
    • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
    Type 1 Excludes
    • toxic reaction to local anesthesia in pregnancy (O29.3-)
    Type 2 Excludes
    • abuse and dependence of psychoactive substances (F10-F19)
    • abuse of non-dependence-producing substances (F55.-)
    • drug reaction and poisoning affecting newborn (P00-P96)
    • pathological drug intoxication (inebriation) (F10-F19)
    Use Additional
    • code(s) to specify:
    • manifestations of poisoning
    • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
    • underdosing of medication regimen (Z91.12-, Z91.13-)
    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
  • T40
    ICD-10-CM Diagnosis Code T40

    Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens]

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.-F19.-)
    Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens]
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • T40.1X2S is considered exempt from POA reporting.
ICD-10-CM T40.1X2S is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 922 Other injury, poisoning and toxic effect diagnoses with mcc
  • 923 Other injury, poisoning and toxic effect diagnoses without mcc

Convert T40.1X2S to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To T40.1X2S
T40.0X6S …… sequela
T40.1 Poisoning by and adverse effect of heroin
T40.1X Poisoning by and adverse effect of heroin
T40.1X1 Poisoning by heroin, accidental (unintentional)
T40.1X1A …… initial encounter
T40.1X1D …… subsequent encounter
T40.1X1S …… sequela
T40.1X2 Poisoning by heroin, intentional self-harm
T40.1X2A …… initial encounter
T40.1X2D …… subsequent encounter
T40.1X2S …… sequela
T40.1X3 Poisoning by heroin, assault
T40.1X3A …… initial encounter
T40.1X3D …… subsequent encounter
T40.1X3S …… sequela
T40.1X4 Poisoning by heroin, undetermined
T40.1X4A …… initial encounter
T40.1X4D …… subsequent encounter
T40.1X4S …… sequela
T40.2 Poisoning by, adverse effect of and underdosing of other opioids
T40.2X Poisoning by, adverse effect of and underdosing of other opioids

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.