2024 ICD-10-CM Diagnosis Code T37.0X1A
Poisoning by sulfonamides, accidental (unintentional), initial encounter
- ICD-10-CM Code:
- T37.0X1A
- ICD-10 Code for:
- Poisoning by sulfonamides, accidental (unintentional), init
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T37.0X1A is a billable diagnosis code used to specify a medical diagnosis of poisoning by sulfonamides, accidental (unintentional), initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
T37.0X1A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like poisoning by sulfonamides accidental (unintentional). According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
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 Classification
Clinical Category | CCSR Category Code | Inpatient Default CCSR | Outpatient Default CCSR |
---|---|---|---|
External cause codes: intent of injury, accidental/unintentional | EXT020 | N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis. | N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis. |
External cause codes: poisoning by drug | EXT014 | N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis. | N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis. |
Poisoning by drugs, initial encounter | INJ022 | Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis. | Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis. |
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
Convert T37.0X1A to ICD-9-CM
- ICD-9-CM Code: 961.0 - Poisoning-sulfonamides
Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment. - ICD-9-CM Code: E857 - Acc pois-oth anti-infect
Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
Table of Drugs and Chemicals
The parent code T37.0X1 of the current diagnosis 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
[Learn More in MedlinePlus]
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.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.