2024 ICD-10-CM Diagnosis Code T54.2X1D
Toxic effect of corrosive acids and acid-like substances, accidental (unintentional), subsequent encounter
- ICD-10-CM Code:
- T54.2X1D
- ICD-10 Code for:
- Toxic eff of corrosv acids and acid-like substnc, acc, subs
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
- Code Information
- Approximate Synonyms
- Clinical Classification
- Clinical Information
- Coding Guidelines
- Tabular List of Diseases and Injuries
- Diagnostic Related Groups Mapping
- Present on Admission (POA)
- Convert to ICD-9 Code
- Table of Drugs and Chemicals
- Patient Education
- Other Codes Used Similar Conditions
- Code History
T54.2X1D is a billable diagnosis code used to specify a medical diagnosis of toxic effect of corrosive acids and acid-like substances, accidental (unintentional), subsequent 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. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
T54.2X1D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like toxic effect of corrosive acids and acid-like substances accidental (unintentional). According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Accidental burning caused by acid
- Accidental burning caused by vitriol burning
- Accidental poisoning by acids
- Accidental poisoning by hydrochloric acid
- Accidental poisoning by nitric acid
- Accidental poisoning by sulfuric acid
- Accidental poisoning caused by fluoroacetic acid
- Acid chemical burn of conjunctival sac
- Acid chemical burn of cornea
- Acid chemical burn of cornea and conjunctival sac
- Acid chemical burn of cornea AND/OR conjunctival sac
- Burn of conjuctival sac
- Burn of conjuctival sac
- Burn of cornea and conjunctival sac
- Burning caused by battery acid
- Burning caused by caustic acid
- Burning caused by hydrochloric acid
- Burning caused by hydrofluoric acid
- Burning caused by nitric acid
- Burning caused by sulfuric acid
- Chemical burn injury to conjunctiva
- Chemical burn injury to conjunctiva
- Chemical injury to cornea
- Chemical injury to cornea
- Fluoroacetic acid poisoning
- Toxic effect of acid
- Toxic effect of hydrochloric acid
- Toxic effect of nitric acid
- Toxic effect of sulfuric acid
Clinical Classification
Clinical Category is Toxic effects, subsequent encounter
- CCSR Category Code: INJ060
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Oxalates
derivatives of oxalic acid. included under this heading are a broad variety of acid forms, salts, esters, and amides that are derived from the ethanedioic acid structure.Oxalic Acid
a strong dicarboxylic acid occurring in many plants and vegetables. it is produced in the body by metabolism of glyoxylic acid or ascorbic acid. it is not metabolized but excreted in the urine. it is used as an analytical reagent and general reducing agent.
Coding Guidelines
The appropriate 7th character is to be added to each code from block Toxic effect of corrosive substances (T54). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Present on Admission (POA)
T54.2X1D 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 Indicator | Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert T54.2X1D to ICD-9-CM
- ICD-9-CM Code: V58.89 - Other specfied aftercare
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 T54.2X1 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 |
---|---|---|---|---|---|---|
Acetic | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Acetic »acid | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Acetic »acid »with sodium acetate (ointment) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Acetic »acid »ester (solvent) (vapor) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Acetic »acid »irrigating solution | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Acetic »acid »medicinal (lotion) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Acetic »anhydride | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Acetic »ether (vapor) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Acid (corrosive) NEC | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Aqua fortis | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Battery acid or fluid | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Formic acid | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Formic acid »vapor | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Hydrazoic acid, azides | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Hydrochloric acid (liquid) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Hydrochloric acid (liquid) »medicinal (digestant) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Hydrochloric acid (liquid) »vapor | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Hydrofluoric acid (liquid) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Hydrofluoric acid (liquid) »vapor | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Mineral | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Mineral »acids | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Mineral »oil (laxative) (medicinal) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Mineral »oil (laxative) (medicinal) »emulsion | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Mineral »oil (laxative) (medicinal) »nonmedicinal | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Mineral »oil (laxative) (medicinal) »topical | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Mineral »salt NEC | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Mineral »spirits | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Nitric | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Nitric »acid (liquid) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Nitric »acid (liquid) »vapor | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Nitric »oxide (gas) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Nitrohydrochloric acid | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Nitrous | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Nitrous »acid (liquid) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Nitrous »acid (liquid) »fumes | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Nitrous »ether spirit | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Nitrous »oxide | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Orthotolidine (reagent) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Osmic acid (liquid) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Osmic acid (liquid) »fumes | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Oxalic acid | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Oxalic acid »ammonium salt | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Phosphoric acid | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Picric (acid) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Saniflush (cleaner) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Storage battery (cells) (acid) | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Sulfuric acid | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Trichloroacetic acid, Trichloracetic acid | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 | ||
Trichloroacetic acid, Trichloracetic acid »medicinal | T54.2X1 | T54.2X2 | T54.2X3 | T54.2X4 |
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.