2024 ICD-10-CM Diagnosis Code T37.0X1

Specific Coding Applicable to Poisoning by sulfonamides, accidental (unintentional)

Non-specific codes like T37.0X1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for poisoning by sulfonamides, accidental (unintentional):

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Accidental sulfadiazine poisoning
• Accidental sulfafurazole poisoning
• Accidental sulfamethoxazole and/or trimethoprim poisoning
• Accidental sulfamethoxazole poisoning
• Poisoning by sulfadiazine
• Poisoning by sulfafurazole
• Poisoning by sulfamethoxazole
• Poisoning caused by antibacterial sulfonamide
• Sulfonamide antibacterial overdose

Clinical Information

• Acedapsone

  acetylated sulfone that is slowly metabolized to give long-term, low blood levels of dapsone. it has antimicrobial and antimalarial action, but is mainly used as a depot leprostatic agent.

• Sulfachlorpyridazine

  a sulfonamide antimicrobial used for urinary tract infections and in veterinary medicine.

• Silver Sulfadiazine

  antibacterial used topically in burn therapy.

• Sulfadiazine

  one of the short-acting sulfonamides used in combination with pyrimethamine to treat toxoplasmosis in patients with acquired immunodeficiency syndrome and in newborns with congenital infections.

• Sulfadimethoxine

  a sulfanilamide that is used as an anti-infective agent.

• Sulfadoxine

  a long acting sulfonamide that is used, usually in combination with other drugs, for respiratory, urinary tract, and malarial infections.

• Sulfaguanidine

  a sulfanilamide antimicrobial agent that is used to treat enteric infections.

• Sulfalene

  long-acting plasma-bound sulfonamide used for respiratory and urinary tract infections and also for malaria.

• Sulfamerazine

  a sulfanilamide that is used as an antibacterial agent.

• Sulfameter

  long acting sulfonamide used in leprosy, urinary, and respiratory tract infections.

• Sulfamethazine

  a sulfanilamide anti-infective agent. it has a spectrum of antimicrobial action similar to other sulfonamides.

• Sulfamethizole

  a sulfathiazole antibacterial agent.

• Sulfamethoxazole

  a bacteriostatic antibacterial agent that interferes with folic acid synthesis in susceptible bacteria. its broad spectrum of activity has been limited by the development of resistance. (from martindale, the extra pharmacopoeia, 30th ed, p208)

• Trimethoprim, Sulfamethoxazole Drug Combination

  a drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. it is effective in the treatment of many infections, including pneumocystis pneumonia in aids.

• Sulfamethoxypyridazine

  a sulfanilamide antibacterial agent.

• Sulfamonomethoxine

  long acting sulfonamide antibacterial agent.

• Sulfamoxole

  a sulfanilamide antibacterial agent.

• Sulfanilamide

  a short-acting sulfonamide used as an anti-infective agent. it has lower anti-bacterial activity than sulfamethoxazole.

• Sulfanilamides

  compounds based on 4-aminobenzenesulfonamide. the '-anil-' part of the name refers to aniline.

• Sulfaphenazole

  a sulfonilamide anti-infective agent.

• Sulfapyridine

  antibacterial, potentially toxic, used to treat certain skin diseases.

• Sulfasalazine

  a drug that is used in the management of inflammatory bowel diseases. its activity is generally considered to lie in its metabolic breakdown product, 5-aminosalicylic acid (see mesalamine) released in the colon. (from martindale, the extra pharmacopoeia, 30th ed, p907)

• Sulfathiazole

  a sulfathiazole compound that is used as a short-acting anti-infective agent. it is no longer commonly used systemically due to its toxicity, but may still be applied topically in combination with other drugs for the treatment of vaginal and skin infections, and is still used in veterinary medicine.

• Sulfathiazoles

  sulfanilamides consisting of a 4-aminobenzenesulfonamido group at the 2-position of 1,3-thiazole. they are often used as anti-infective agents.

• Sulfisomidine

  a sulfanilamide antibacterial agent.

• Sulfisoxazole

  a short-acting sulfonamide antibacterial with activity against a wide range of gram- negative and gram-positive organisms.

Coding Guidelines

When coding a poisoning or reaction to the improper use of a medication (e.g., overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36-T50. The poisoning codes have an associated intent as their 5th or 6th character (accidental, intentional self-harm, assault and undetermined. If the intent of the poisoning is unknown or unspecified, code the intent as accidental intent. The undetermined intent is only for use if the documentation in the record specifies that the intent cannot be determined. Use additional code(s) for all manifestations of poisonings.

The appropriate 7th character is to be added to each code from block Poisoning by, adverse effect of and underdosing of other systemic anti-infectives and antiparasitics (T37). Use the following options for the aplicable episode of care:

• A - initial encounter
• D - subsequent encounter
• S - sequela

Table of Drugs and Chemicals

The code is referenced in the Table of Drugs and Chemicals, this table contains a classification of drugs, industrial solvents, corrosive gases, noxious plants, pesticides, and other toxic agents.

According to ICD-10-CM coding guidelines it is advised to do not code directly from the Table of Drugs and Chemicals, instead always refer back to the Tabular List when doing the initial coding. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. It is important to use as many codes as necessary to specify all reported drugs, medicinal or chemical substances. If the same diagnosis code describes the causative agent for more than one adverse reaction, poisoning, toxic effect or underdosing, utilize the code only once.

Patient Education

Medication Errors

Medicines treat infectious diseases, prevent problems from chronic diseases, and ease pain. But medicines can also cause harmful reactions if not used correctly. Errors can happen in the hospital, at the health care provider's office, at the pharmacy, or at home. You can help prevent errors by:

• Knowing your medicines. When you get a prescription, ask the name of the medicine and check to make sure that the pharmacy gave you the right medicine. Make sure that you understand how often you should take the medicine and how long you should take it.
• Keeping a list of medicines.
• Write down all of the medicines that you are taking, including the names of your medicines, how much you take, and when you take them. Make sure to include any over-the-counter medicines, vitamins, supplements, and herbs that you take.
• List the medicines that you are allergic to or that have caused you problems in the past.
• Take this list with you every time you see a health care provider.
• Reading medicine labels and following the directions. Don't just rely on your memory - read the medication label every time. Be especially careful when giving medicines to children.
• Asking questions. If you don't know the answers to these questions, ask your health care provider or pharmacist:
• Why am I taking this medicine?
• What are the common side effects?
• What should I do if I have side effects?
• When should I stop this medicine?
• Can I take this medicine with the other medicines and supplements on my list?
• Do I need to avoid certain foods or alcohol while taking this medicine?

Food and Drug Administration

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.