2024 ICD-10-CM Diagnosis Code T39.392

Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], intentional self-harm

ICD-10-CM Code:
T39.392
ICD-10 Code for:
Poisoning by oth nonsteroidal anti-inflam drugs, self-harm
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
      (T36-T50)
      • Poisoning by, adverse effect of and underdosing of nonopioid analgesics, antipyretics and antirheumatics
        (T39)

T39.392 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of poisoning by other nonsteroidal anti-inflammatory drugs [nsaid], intentional self-harm. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Poisoning by oth nonsteroidal anti-inflam drugs, self-harm

Non-specific codes like T39.392 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 oth nonsteroidal anti-inflam drugs, self-harm:

  • Use T39.392A for initial encounter - BILLABLE CODE

  • Use T39.392D for subsequent encounter - BILLABLE CODE

  • Use T39.392S for sequela - BILLABLE CODE

Approximate Synonyms

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

  • Acemetacin overdose
  • Acemetacin poisoning
  • Acemetacin poisoning
  • Diclofenac overdose
  • Diclofenac poisoning
  • Etodolac overdose
  • Etodolac poisoning
  • Felbinac overdose
  • Felbinac poisoning
  • Fenbufen overdose
  • Fenbufen poisoning
  • Indomethacin overdose
  • Intentional acemetacin overdose
  • Intentional acemetacin poisoning
  • Intentional diclofenac overdose
  • Intentional diclofenac poisoning
  • Intentional etodolac overdose
  • Intentional etodolac poisoning
  • Intentional felbinac overdose
  • Intentional felbinac poisoning
  • Intentional fenbufen overdose
  • Intentional fenbufen poisoning
  • Intentional indomethacin overdose
  • Intentional indomethacin poisoning
  • Intentional mefenamic acid overdose
  • Intentional mefenamic acid poisoning
  • Intentional nabumetone overdose
  • Intentional nabumetone poisoning
  • Intentional non-steroidal anti-inflammatory agent overdose
  • Intentional piroxicam overdose
  • Intentional piroxicam poisoning
  • Intentional sulindac overdose
  • Intentional sulindac poisoning
  • Intentional tenoxicam overdose
  • Intentional tenoxicam poisoning
  • Intentional tolmetin overdose
  • Intentional tolmetin poisoning
  • Mefenamic acid overdose
  • Mefenamic acid poisoning
  • Nabumetone overdose
  • Nabumetone poisoning
  • Piroxicam overdose
  • Piroxicam poisoning
  • Piroxicam poisoning
  • Poisoning by indomethacin
  • Sulindac overdose
  • Sulindac poisoning
  • Tenoxicam overdose
  • Tenoxicam poisoning
  • Tolmetin overdose
  • Tolmetin poisoning

Clinical Information

  • Diclofenac

    a non-steroidal anti-inflammatory agent (nsaid) with antipyretic and analgesic actions. it is primarily available as the sodium salt.
  • Etodolac

    a non-steroidal anti-inflammatory agent and cyclooxygenase-2 (cox-2) inhibitor with potent analgesic and anti-arthritic properties. it has been shown to be effective in the treatment of osteoarthritis; rheumatoid arthritis; ankylosing spondylitis; and in the alleviation of postoperative pain (pain, postoperative).
  • Flufenamic Acid

    an anthranilic acid derivative with analgesic, anti-inflammatory, and antipyretic properties. it is used in musculoskeletal and joint disorders and administered by mouth and topically. (from martindale, the extra pharmacopoeia, 30th ed, p16)
  • Indomethacin

    a non-steroidal anti-inflammatory agent (nsaid) that inhibits cyclooxygenase, which is necessary for the formation of prostaglandins and other autacoids. it also inhibits the motility of polymorphonuclear leukocytes.
  • Meclofenamic Acid

    a non-steroidal anti-inflammatory agent with antipyretic and antigranulation activities. it also inhibits prostaglandin biosynthesis.
  • Mefenamic Acid

    a non-steroidal anti-inflammatory agent with analgesic, anti-inflammatory, and antipyretic properties. it is an inhibitor of cyclooxygenase.
  • Nabumetone

    a butanone non-steroidal anti-inflammatory drug and cyclooxygenase-2 (cox2) inhibitor that is used in the management of pain associated with osteoarthritis and rheumatoid arthritis.
  • Piroxicam

    a cyclooxygenase inhibiting, non-steroidal anti-inflammatory agent (nsaid) that is well established in treating rheumatoid arthritis and osteoarthritis and used for musculoskeletal disorders, dysmenorrhea, and postoperative pain. its long half-life enables it to be administered once daily.
  • Sulindac

    a sulfinylindene derivative prodrug whose sulfinyl moiety is converted in vivo to an active nsaid analgesic. specifically, the prodrug is converted by liver enzymes to a sulfide which is excreted in the bile and then reabsorbed from the intestine. this helps to maintain constant blood levels with reduced gastrointestinal side effects.
  • Tolmetin

    a non-steroidal anti-inflammatory agent (anti-inflammatory agents, non-steroidal) similar in mode of action to indomethacin.

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 nonopioid analgesics, antipyretics and antirheumatics (T39). 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.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
(self-harm)
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
Anti-inflammatory drug NECT39.391T39.392T39.393T39.394T39.395T39.396
Anti-inflammatory drug NEC
  »local
T39.391T39.392T39.393T39.394T39.395T39.396
Anti-inflammatory drug NEC
  »nonsteroidal NEC
T39.391T39.392T39.393T39.394T39.395T39.396
Anti-inflammatory drug NEC
  »nonsteroidal NEC
    »propionic acid derivative
T39.391T39.392T39.393T39.394T39.395T39.396
Anti-inflammatory drug NEC
  »specified NEC
T39.391T39.392T39.393T39.394T39.395T39.396
DiclofenacT39.391T39.392T39.393T39.394T39.395T39.396
EtodolacT39.391T39.392T39.393T39.394T39.395T39.396
FenflumizoleT39.391T39.392T39.393T39.394T39.395T39.396
Flufenamic acidT39.391T39.392T39.393T39.394T39.395T39.396
IndometacinT39.391T39.392T39.393T39.394T39.395T39.396
IndomethacinT39.391T39.392T39.393T39.394T39.395T39.396
Indomethacin
  »farnesil
T39.391T39.392T39.393T39.394T39.395T39.396
IsoxicamT39.391T39.392T39.393T39.394T39.395T39.396
MeclofenamateT39.391T39.392T39.393T39.394T39.395T39.396
Meclofenamic acidT39.391T39.392T39.393T39.394T39.395T39.396
Mefenamic acidT39.391T39.392T39.393T39.394T39.395T39.396
NabumetoneT39.391T39.392T39.393T39.394T39.395T39.396
NimesulideT39.391T39.392T39.393T39.394T39.395T39.396
PiroxicamT39.391T39.392T39.393T39.394T39.395T39.396
Piroxicam
  »beta-cyclodextrin complex
T39.391T39.392T39.393T39.394T39.395T39.396
ProquazoneT39.391T39.392T39.393T39.394T39.395T39.396
SulindacT39.391T39.392T39.393T39.394T39.395T39.396
TenoxicamT39.391T39.392T39.393T39.394T39.395T39.396
TolmetinT39.391T39.392T39.393T39.394T39.395T39.396
UfenamateT39.391T39.392T39.393T39.394T39.395T39.396
ZomepiracT39.391T39.392T39.393T39.394T39.395T39.396

Patient Education


Poisoning

A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include:

  • Prescription or over-the-counter medicines taken in doses that are too high
  • Overdoses of illegal drugs
  • Carbon monoxide from gas appliances
  • Household products, such as laundry powder or furniture polish
  • Pesticides
  • Indoor or outdoor plants
  • Metals such as lead and mercury

The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.


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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.