2024 ICD-10-CM Diagnosis Code T51.0X2S

Toxic effect of ethanol, intentional self-harm, sequela

ICD-10-CM Code:
T51.0X2S
ICD-10 Code for:
Toxic effect of ethanol, intentional self-harm, sequela
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Toxic effects of substances chiefly nonmedicinal as to source
      (T51-T65)
      • Toxic effect of alcohol
        (T51)

T51.0X2S is a billable diagnosis code used to specify a medical diagnosis of toxic effect of ethanol, intentional self-harm, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

T51.0X2S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like toxic effect of ethanol intentional self-harm. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Approximate Synonyms

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

  • Intentional poisoning by ethyl alcohol

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Mental and substance use disorders; sequelaMBD034Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Poisoning/toxic effect/adverse effects/underdosing, sequelaINJ075N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Absinthe

    an extract of absinthium and other bitter herbs, containing 60% alcohol. prolonged ingestion causes nervousness, convulsions, trismus, amblyopia, optic neuritis, and mental deterioration. (dorland, 27th ed)
  • Alcohol Abstinence

    non-consumption of alcoholic beverages.
  • Alcohol-Induced Disorders, Nervous System

    acute and chronic neurologic disorders associated with the various neurologic effects of ethanol. primary sites of injury include the brain and peripheral nerves.
  • Alcoholism

    a primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. the disease is often progressive and fatal. it is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. each of these symptoms may be continuous or periodic. (morse & flavin for the joint commission of the national council on alcoholism and drug dependence and the american society of addiction medicine to study the definition and criteria for the diagnosis of alcoholism: in jama 1992;268:1012-4)
  • Darunavir

    an hiv protease inhibitor that is used in the treatment of aids and hiv infections. due to the emergence of antiviral drug resistance when used alone, it is administered in combination with other anti-hiv agents.
  • Ethanol

    a clear, colorless liquid rapidly absorbed from the gastrointestinal tract and distributed throughout the body. it has bactericidal activity and is used often as a topical disinfectant. it is widely used as a solvent and preservative in pharmaceutical preparations as well as serving as the primary ingredient in alcoholic beverages.
  • Ethanolamine

    a viscous, hygroscopic amino alcohol with an ammoniacal odor. it is widely distributed in biological tissue and is a component of lecithin. it is used as a surfactant, fluorimetric reagent, and to remove co2 and h2s from natural gas and other gases.
  • Ethanolamine Ammonia-Lyase

    an enzyme that catalyzes the deamination of ethanolamine to acetaldehyde. ec 4.3.1.7.
  • Ethanolaminephosphotransferase

    an enzyme that catalyzes reversibly the transfer of phosphoethanolamine from cdp-ethanolamine to diacylglycerol to yield phosphatidylethanolamine (cephalin) and cmp. the enzyme is found in the endoplasmic reticulum. ec 2.7.8.1.
  • Ethanolamines

    amino alcohols containing the ethanolamine; (-nh2ch2choh) group and its derivatives.
  • Phosphatidylethanolamines

    derivatives of phosphatidic acids in which the phosphoric acid is bound in ester linkage to an ethanolamine moiety. complete hydrolysis yields 1 mole of glycerol, phosphoric acid and ethanolamine and 2 moles of fatty acids.
  • Quetiapine Fumarate

    a dibenzothiazepine and antipsychotic agent that targets the serotonin 5-ht2 receptor; histamine h1 receptor, adrenergic alpha1 and alpha2 receptors, as well as the dopamine d1 receptor and dopamine d2 receptor. it is used in the treatment of schizophrenia; bipolar disorder and depressive disorder.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Toxic effect of alcohol (T51). Use the following options for the aplicable episode of care:

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

Present on Admission (POA)

T51.0X2S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T51.0X2S to ICD-9-CM

  • ICD-9-CM Code: 909.1 - Late eff nonmed substanc
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Table of Drugs and Chemicals

The parent code T51.0X2 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.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
(self-harm)
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
AbsintheT51.0X1T51.0X2T51.0X3T51.0X4  
Absinthe
  »beverage
T51.0X1T51.0X2T51.0X3T51.0X4  
Denatured alcoholT51.0X1T51.0X2T51.0X3T51.0X4  
EthanolT51.0X1T51.0X2T51.0X3T51.0X4  
Ethanol
  »beverage
T51.0X1T51.0X2T51.0X3T51.0X4  
Grain alcoholT51.0X1T51.0X2T51.0X3T51.0X4  
IndustrialT51.0X1T51.0X2T51.0X3T51.0X4  
Industrial
  »alcohol
T51.0X1T51.0X2T51.0X3T51.0X4  
Industrial
  »fumes
T51.0X1T51.0X2T51.0X3T51.0X4  
Industrial
  »solvents (fumes) (vapors)
T51.0X1T51.0X2T51.0X3T51.0X4  
Neutral spiritsT51.0X1T51.0X2T51.0X3T51.0X4  
Neutral spirits
  »beverage
T51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NECT51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NEC
  »beverage
T51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NEC
  »industrial
T51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NEC
  »mineral
T51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NEC
  »of salt
T51.0X1T51.0X2T51.0X3T51.0X4  
Spirit (s) (neutral) NEC
  »surgical
T51.0X1T51.0X2T51.0X3T51.0X4  

Patient Education


Alcohol

If you are like many Americans, you drink alcohol at least occasionally. For many people, moderate drinking is probably safe. But drinking less is better for your health than drinking more. And there are some people who should not drink at all.

Because drinking too much can be harmful, it's important to know how alcohol affects you and how much is too much.

How does alcohol affect the body?

Alcohol is a central nervous system depressant. This means that it is a drug that slows down brain activity. It can change your mood, behavior, and self-control. It can cause problems with memory and thinking clearly. Alcohol can also affect your coordination and physical control.

Alcohol also has effects on the other organs in your body. For example, it can raise your blood pressure and heart rate. If you drink too much at once, it could make you throw up.

Why are the effects of alcohol different from person to person?

Alcohol's effects vary from person to person, depending on a variety of factors, including:

  • How much you drank
  • How quickly you drank it
  • The amount of food you ate before drinking
  • Your age
  • Your sex
  • Your race or ethnicity
  • Your physical condition
  • Whether or not you have a family history of alcohol problems

What is moderate drinking?

  • For most women, moderate drinking is no more than one standard drink a day
  • For most men, moderate drinking is no more than two standard drinks a day

Even though moderate drinking may be safe for many people, there are still risks. Moderate drinking can raise the risk of death from certain cancers and heart diseases.

What is a standard drink?

In the United States, a standard drink is one that contains about 14 grams of pure alcohol, which is found in:

  • 12 ounces of beer (5% alcohol content)
  • 5 ounces of wine (12% alcohol content)
  • 1.5 ounces or a "shot" of distilled spirits or liquor (40% alcohol content)

Who should not drink alcohol?

Some people should not drink alcohol at all, including those who:

  • Are recovering from an alcohol use disorder (AUD) or are unable to control the amount they drink
  • Are under age 21
  • Are pregnant or trying to become pregnant
  • Are taking medicines that can interact with alcohol
  • Have medical conditions that get can worse if you drink alcohol
  • Are planning on driving
  • Will be operating machinery

If you have questions about whether it is safe for you to drink, talk with your health care provider.

What is excessive drinking?

Excessive drinking includes binge drinking and heavy alcohol use:

  • Binge drinking is drinking so much at once that your blood alcohol concentration (BAC) level is 0.08% or more. For a man, this usually happens after having 5 or more drinks within a few hours. For a woman, it is after about 4 or more drinks within a few hours.
  • Heavy alcohol use is having having more than 4 drinks on any day for men or more than 3 drinks for women

Binge drinking raises your risk of injuries, car crashes, and alcohol poisoning. It also puts you of becoming violent or being the victim of violence.

Heavy alcohol use over a long period of time may cause health problems such as:

  • Alcohol use disorder
  • Liver diseases, including cirrhosis and fatty liver disease
  • Heart diseases
  • Increased risk for certain cancers
  • Increased risk of injuries

Heavy alcohol use can also cause problems at home, at work, and with friends. But treatment can help.

NIH: National Institute on Alcohol Abuse and Alcoholism


[Learn More in MedlinePlus]

Suicide

What is suicide?

Suicide is the taking of one's own life. It is a death that happens when someone harms themselves because they want to end their life. A suicide attempt is when someone harms themselves to try to end their life, but they do not die.

Suicide is a major public health problem and a leading cause of death in the United States. The effects of suicide go beyond the person who acts to take his or her life. It can also have a lasting effect on family, friends, and communities.

Who is at risk for suicide?

Suicide does not discriminate. It can touch anyone, anywhere, at any time. But there are certain factors that can contribute to the risk of suicide, including:

  • Having attempted suicide before
  • Depression and other mental health disorders
  • Alcohol or drug use disorder
  • Family history of a mental health disorder
  • Family history of an alcohol or drug use disorder
  • Family history of suicide
  • Family violence, including intimate partner violence, child abuse, or sexual abuse
  • Having guns in the home
  • Being in or having recently gotten out of prison or jail
  • Being exposed to others' suicidal behavior, such as a family member, peer, or celebrity
  • Medical illness, including chronic pain
  • Stressful life event, such as a job loss, financial problems, loss of a loved one, a breakup of a relationship, etc.
  • Being between the ages of 15 and 24 years or over age 60

What are the warning signs for suicide?

The warning signs for suicide include:

  • Talking about wanting to die or wanting to kill oneself
  • Making a plan or looking for a way to kill oneself, such as searching online
  • Buying a gun or stockpiling pills
  • Feeling empty, hopeless, trapped, or like there's no reason to live
  • Being in unbearable pain
  • Talking about being a burden to others
  • Using more alcohol or drugs
  • Acting anxious or agitated; behaving recklessly
  • Sleeping too little or too much
  • Withdrawing from family or friends or feeling isolated
  • Showing rage or talking about seeking revenge
  • Displaying extreme mood swings
  • Saying good-bye to loved ones, putting affairs in order

Some people may tell others about their suicidal thoughts. But others may try to hide them. This can make some of the signs harder to spot.

What should I do if I need help or know someone who does?

If you or someone you know has the warning signs for suicide, get help right away, especially if there is a change in behavior. If it is an emergency, dial 911. Otherwise there are five steps that you can take:

  • Ask the person if they're thinking about killing themselves.
  • Keep them safe. Find out whether they have a plan for suicide and keep them away from things that they can use to kill themselves.
  • Be there with them. Listen carefully and find out what they are thinking and feeling.
  • Help them connect to resources that can help them, such as through:
    • Calling or texting the 988 Suicide & Crisis Lifeline at 988.
    • Chatting through Lifeline Chat.
    • For veterans, reaching the Veterans Crisis Line by:
      • Calling 988 and then pressing 1.
      • Texting to 838255.
      • Chatting with them.
  • Stay connected. Staying in touch after a crisis can make a difference.

NIH: National Institute of Mental Health


[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.