Injury, poisoning and certain other consequences of external causes (S00-T88)

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
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
Use additional
code to identify any retained foreign body, if applicable (Z18.-)
Excludes 1:
birth trauma (P10-P15)
obstetric trauma (O70-O71)

Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

Note:
When no intent is indicated code to accidental. Undetermined intent is only for use when there is specific documentation in the record that the intent of the toxic effect cannot be determined.
Use additional
code(s):
Use additional
for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
Use additional
personal history of foreign body fully removed (Z87.821)
Use additional
to identify any retained foreign body, if applicable (Z18.-)
Excludes 1:
contact with and (suspected) exposure to toxic substances (Z77.-)
T51 Toxic effect of alcohol [+]
The appropriate 7th character is to be added to each code from category T51
A - initial encounter
D - subsequent encounter
S - sequela
T52 Toxic effect of organic solvents [+]
Excludes 1: halogen derivatives of aliphatic and aromatic hydrocarbons (T53.-)
The appropriate 7th character is to be added to each code from category T52
A - initial encounter
D - subsequent encounter
S - sequela
T53 Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons [+]
The appropriate 7th character is to be added to each code from category T53
A - initial encounter
D - subsequent encounter
S - sequela
T54 Toxic effect of corrosive substances [+]
The appropriate 7th character is to be added to each code from category T54
A - initial encounter
D - subsequent encounter
S - sequela
T55 Toxic effect of soaps and detergents [+]
The appropriate 7th character is to be added to each code from category T55
A - initial encounter
D - subsequent encounter
S - sequela
T56 Toxic effect of metals [+]
Includes: toxic effects of fumes and vapors of metals
toxic effects of metals from all sources, except medicinal substances
Use additional code to identify any retained metal foreign body, if applicable (Z18.0-, T18.1-)
Excludes 1: arsenic and its compounds (T57.0)
manganese and its compounds (T57.2)
The appropriate 7th character is to be added to each code from category T56
A - initial encounter
D - subsequent encounter
S - sequela
T57 Toxic effect of other inorganic substances [+]
The appropriate 7th character is to be added to each code from category T57
A - initial encounter
D - subsequent encounter
S - sequela
T58 Toxic effect of carbon monoxide [+]
Includes: asphyxiation from carbon monoxide
toxic effect of carbon monoxide from all sources
The appropriate 7th character is to be added to each code from category T58
A - initial encounter
D - subsequent encounter
S - sequela
T59 Toxic effect of other gases, fumes and vapors [+]
Includes: aerosol propellants
Excludes 1: chlorofluorocarbons (T53.5)
The appropriate 7th character is to be added to each code from category T59
A - initial encounter
D - subsequent encounter
S - sequela
T60 Toxic effect of pesticides [+]
Includes: toxic effect of wood preservatives
The appropriate 7th character is to be added to each code from category T60
A - initial encounter
D - subsequent encounter
S - sequela
T61 Toxic effect of noxious substances eaten as seafood [+]
Excludes 1: allergic reaction to food, such as:
anaphylactic reaction or shock due to adverse food reaction (T78.0-)
bacterial foodborne intoxications (A05.-)
dermatitis (L23.6, L25.4, L27.2)
food protein-induced enterocolitis syndrome (K52.21)
food protein-induced enteropathy (K52.22)
gastroenteritis (noninfective) (K52.29)
toxic effect of aflatoxin and other mycotoxins (T64)
toxic effect of cyanides (T65.0-)
toxic effect of harmful algae bloom (T65.82-)
toxic effect of hydrogen cyanide (T57.3-)
toxic effect of mercury (T56.1-)
toxic effect of red tide (T65.82-)
The appropriate 7th character is to be added to each code from category T61
A - initial encounter
D - subsequent encounter
S - sequela
T62 Toxic effect of other noxious substances eaten as food [+]
Excludes 1: allergic reaction to food, such as:
anaphylactic shock (reaction) due to adverse food reaction (T78.0-)
bacterial food borne intoxications (A05.-)
dermatitis (L23.6, L25.4, L27.2)
food protein-induced enterocolitis syndrome (K52.21)
food protein-induced enteropathy (K52.22)
gastroenteritis (noninfective) (K52.29)
toxic effect of aflatoxin and other mycotoxins (T64)
toxic effect of cyanides (T65.0-)
toxic effect of hydrogen cyanide (T57.3-)
toxic effect of mercury (T56.1-)
The appropriate 7th character is to be added to each code from category T62
A - initial encounter
D - subsequent encounter
S - sequela
T63 Toxic effect of contact with venomous animals and plants [+]
Includes: bite or touch of venomous animal
pricked or stuck by thorn or leaf
Excludes 2: ingestion of toxic animal or plant (T61.-, T62.-)
The appropriate 7th character is to be added to each code from category T63
A - initial encounter
D - subsequent encounter
S - sequela
T64 Toxic effect of aflatoxin and other mycotoxin food contaminants [+]
The appropriate 7th character is to be added to each code from category T64
A - initial encounter
D - subsequent encounter
S - sequela
T65 Toxic effect of other and unspecified substances [+]
The appropriate 7th character is to be added to each code from category T65
A - initial encounter
D - subsequent encounter
S - sequela

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