2024 ICD-10-CM Diagnosis Code T50.0X2

Poisoning by mineralocorticoids and their antagonists, intentional self-harm

ICD-10-CM Code:
T50.0X2
ICD-10 Code for:
Poisoning by mineralocorticoids and their antag, 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 diuretics and other and unspecified drugs, medicaments and biological substances
        (T50)

T50.0X2 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 mineralocorticoids and their antagonists, 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 mineralocorticoids and their antag, self-harm

Non-specific codes like T50.0X2 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 mineralocorticoids and their antag, self-harm:

  • Use T50.0X2A for initial encounter - BILLABLE CODE

  • Use T50.0X2D for subsequent encounter - BILLABLE CODE

  • Use T50.0X2S 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:

  • Intentional deoxycortone poisoning
  • Intentional poisoning caused by corticosteroid and/or corticosteroid derivative
  • Poisoning caused by deoxycortone
  • Poisoning caused by mineralocorticoid agent

Clinical Information

  • Aldosterone

    a hormone secreted by the adrenal cortex that regulates electrolyte and water balance by increasing the renal retention of sodium and the excretion of potassium.
  • Cytochrome P-450 CYP11B2

    a mitochondrial cytochrome p450 enzyme that catalyzes the 18-hydroxylation of steroids in the presence of molecular oxygen and nadph-specific flavoprotein. this enzyme, encoded by cyp11b2 gene, is important in the conversion of corticosterone to 18-hydroxycorticosterone and the subsequent conversion to aldosterone.
  • Mineralocorticoid Receptor Antagonists

    drugs that bind to and block the activation of mineralocorticoid receptors by mineralocorticoids such as aldosterone.
  • Receptors, Mineralocorticoid

    cytoplasmic proteins that specifically bind mineralocorticoids and mediate their cellular effects. the receptor with its bound ligand acts in the nucleus to induce transcription of specific segments of dna.
  • Canrenoic Acid

    a synthetic pregnadiene derivative with anti-aldosterone activity.
  • Canrenone

    a synthetic pregnadiene compound with anti-aldosterone activity.
  • Fludrocortisone

    a synthetic mineralocorticoid with anti-inflammatory activity.
  • Spironolactone

    a potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. it is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (from martindale, the extra pharmacopoeia, 30th ed, p827)

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 diuretics and other and unspecified drugs, medicaments and biological substances (T50). 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
AldactoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
AldosteroneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
AntagonistT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »Aldosterone
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »alpha-adrenoreceptor
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »anticoagulant
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »beta-adrenoreceptor
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »extrapyramidal NEC
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »folic acid
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »H2 receptor
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »heavy metal
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »narcotic analgesic
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »opiate
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »pyrimidine
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Antagonist
  »serotonin
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Canrenoic acidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
CanrenoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
DeoxycortoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
DesoxycorticosteroidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
DesoxycortoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
FludrocortisoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Fludrocortisone
  »ENT agent
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Fludrocortisone
  »ophthalmic preparation
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Fludrocortisone
  »topical NEC
T50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
FluorhydrocortisoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
MineralocorticosteroidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
Salt-retaining mineralocorticoidT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6
SpironolactoneT50.0X1T50.0X2T50.0X3T50.0X4T50.0X5T50.0X6

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.


[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.